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Organization
WIBICKI FAMILY DENTAL PC
Active
Organization
WIBICKI FAMILY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN J WIBICKI D.D.S. (PRESIDENT)
(847) 458-4758
Entity
Organization
Contact information
Practice address
4 CEDAR RIDGE DRIVE, 4F, LAKE IN THE HILLS, IL 60156
(847) 458-4758
Mailing address
4 CEDAR RIDGE DRIVE, 4F, LAKE IN THE HILLS, IL 60156
(847) 458-4758
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019021866
IL
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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