Organization · Type 2 NPI

Koentjoro & Le Dentistry PLC

General Practice Dentistry · Council Bluffs, IA

NPI number 1104494830 Active

Practice location

3617 Denmark Dr Ste 100
Council Bluffs, IA 51501-7756

Mailing address

PO Box 3189
Syracuse, NY 13220-3189

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2 other providers at this address

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About NPI 1104494830

Koentjoro & Le Dentistry PLC's National Provider Identifier is 1104494830, issued on Jun 17, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Council Bluffs, IA. The record was last updated on Jun 24, 2021.