Individual
DR. KYLE HASCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
17725 WELCH PLZ STE B, OMAHA, NE 68135-1404
(402) 932-9349
Mailing address
11739 S 210TH ST, GRETNA, NE 68028-3746
(402) 699-4112
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7383
NE
1223G0001X
General Practice Dentistry
7383
NE
Other
Enumeration date
06/19/2017
Last updated
06/19/2017
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