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Individual

KEE-JU HONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
702 W MISSION AVE, BELLEVUE, NE 68005-5124
(402) 291-5842
Mailing address
1127 S 15TH CIR, OMAHA, NE 68108-3139
(402) 203-7847

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6990
NE
1223G0001X
General Practice Dentistry
DD4342
NM

Other

Enumeration date
09/16/2011
Last updated
01/26/2015
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