Individual
CHRISTINE DREGALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
402 MAIN ST, PENDER, NE 68047
(402) 385-3188
(402) 385-0165
Mailing address
402 MAIN ST, PO BOX 146, PENDER, NE 68047
(402) 385-3188
(402) 385-0165
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6629
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025402600
—
NE
Enumeration date
10/26/2006
Last updated
07/08/2007
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