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DR. HERBERT C. COULTER D.D.S.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1396876272

Individual Registrant:
DR. HERBERT C. COULTER D.D.S.
Gender: M
Sole Proprietor

Location and contact information for practice:
1904 SOUTH ST SUITE 103 BLAIR, NE 68008-1964 US
Tel: 402-426-3334  Fax: 402-426-4540

Contact information for business:
1904 SOUTH ST SUITE 103 BLAIR, NE 68008-1964 US
Tel: 402-426-3334  Fax: 402-426-4540

Registration Information:
NPI: 1396876272
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
NE3849

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
STATE LICENSE3849NE01
47052774500NE05




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