Hergenrader Dental Rehab Pc | |
3102 East Elk Lane Fremont NE 68025 | |
(315) 454-6000 | |
Not Available |
Full Name | Hergenrader Dental Rehab Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 3102 East Elk Lane, Fremont, Nebraska |
Authorized Official Name and Position | Alan Hergenrader (OWNER) |
Authorized Official Contact | 3154546000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hergenrader Dental Rehab Pc Po Box 3189 Syracuse NY 13220-3189 Ph: () - | Hergenrader Dental Rehab Pc 3102 East Elk Lane Fremont NE 68025 Ph: (315) 454-6000 |
NPI Number | 1891298196 |
---|---|
Provider Enumeration Date | 03/13/2018 |
Last Update Date | 03/13/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891298196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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