Heather Ann Juenemann, RDH
Dental Hygienist in Mc Cook, NE. Individual provider (NPI-1).
NPI number1164043436
StatusActive
Last updated in NPPESFeb 2, 2021
Details
- NPI
- 1164043436
- Entity type
- Individual (NPI-1)
- Name
- Heather Ann Juenemann
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 28, 2020
- Certification date
- Feb 2, 2021
- Last updated
- Feb 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | 2613 | NE | Yes |
Practice location
2009 W J StMc Cook, NE 69001-3090
Phone 308-345-2273
Mailing address
2009 W J StMc Cook, NE 69001-3090
Phone 308-345-2273
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