Individual
DR. WILLIAM LEE CARLISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10801 BLONDO ST, SUITE D, OMAHA, NE 68164-3800
(402) 493-9361
Mailing address
10801 BLONDO ST, SUITE D, OMAHA, NE 68164-3800
(402) 493-9361
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3399
NE
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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