Organization
UNITED STATES AIR FORCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN BRENT WIEST D.D.S. (DENTIST)
(801) 376-8189
Entity
Organization
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
261QD0000X
Dental Clinic/Center
Primary
94297759922
UT
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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