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Individual

MS. RITA MARY SUNDERMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D.H.

Contact information

Practice address
2501 CAPEHART RD, OFFUTT A F B, NE 68113-1043
(402) 294-3211
Mailing address
4030 N 156TH AVE, OMAHA, NE 68116-2860
(402) 740-9664

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
03001
IA

Other

Enumeration date
02/15/2006
Last updated
07/08/2007
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