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NPI Code Detail

MEDICARE: KRALIK DAKOTA DENTAL, P.C.

MEDICARE: KRALIK DAKOTA DENTAL, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1235511213
Entity Type Code : Organization
Provider Name (Legal Business Name) : KRALIK DAKOTA DENTAL, P.C.
Provider Business Mailing Address
First Line : 910 N LINCOLN ST
Second Line :
City : WEST POINT
State : NE
Zip : 68788-1002
Country : US
Telephone Number : 402-372-2418
Fax Number : 402-372-5060
Provider Business Practice Location Address
First Line : 910 N LINCOLN ST
Second Line :
City : WEST POINT
State : NE
Zip : 68788-1002
Country : US
Telephone Number : 402-372-2418
Fax Number : 402-372-5060
Authorized Official
Title or Position : OWNER
Name : DR. SHAWN KRALIK
Credential : D.D.S.
Telephone Number : 402-372-2418
Provider Enumeration Date : 06/25/2015
Last Update Date : 06/25/2015

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Directions to “KRALIK DAKOTA DENTAL, P.C. ” Practice Location

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