Individual
DR. KYLE ANDREW LAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2501 CAPEHART RD, OFFUTT AFB, NE 68113-1043
(402) 232-2273
Mailing address
2501 CAPEHART RD, OFFUTT AFB, NE 68113-1043
(402) 232-2273
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
254
NE
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
7798
NE
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DDS-10041
IA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
GA-0184
IA
Other
Enumeration date
06/18/2017
Last updated
03/26/2024
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