| 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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