Leah Genene Sunderman, Rdh
Dental Hygienist in Wisner, NE. Individual provider (NPI-1).
NPI number1114432606
StatusActive
Last updated in NPPESDec 6, 2017
Details
- NPI
- 1114432606
- Entity type
- Individual (NPI-1)
- Name
- Ms. Leah Genene Sunderman
- Credential
- Rdh
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 6, 2017
- Last updated
- Dec 6, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | 135 | NE | Yes |
Practice location
Po Box 779Wisner, NE 68791-0779
Phone 402-529-2233
Mailing address
Po Box 131Hoskins, NE 68740-0131
Phone 402-318-9818
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