Individual
DARIN LEE KOTIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14450 EAGLE RUN DRIVE, SUITE 110, OMAHA, NE 68116
(402) 964-9009
(402) 964-1077
Mailing address
14450 EAGLE RUN DR STE 290, OMAHA, NE 68116-1493
(402) 964-9009
(402) 964-1077
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6299
NE
Other
Enumeration date
10/06/2006
Last updated
08/10/2023
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