Organization
KOENTJORO DENTISTRY OAKVIEW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALDO KOENTJORO (OWNER)
(402) 972-4400
Entity
Organization
Contact information
Practice address
3225 OAK VIEW DR, OMAHA, NE 68144-5627
(402) 972-4400
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
06/20/2023
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