Individual
KILEY DOHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(405) 552-7267
Mailing address
801 NW 10TH ST APT 139, OKLAHOMA CITY, OK 73106-6905
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2317
ND
1223G0001X
General Practice Dentistry
Primary
1332
OK
Other
Enumeration date
07/06/2017
Last updated
04/24/2018
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