Search › Nebraska › 1223G0001X
Aldo Koentjoro, D.D.S
NPI 1366738924 · on the registry since 2011 · sole proprietor
Practice
- Address
- 206 Wilmar Ave
Grand Island, NE 68803 - Phone
- (308) 384-7500
- Organisation at this address
- Nmh Inc
Covarrubias Dental Llc
Nebraska Dental Care LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-06-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska