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Individual

DR. KYLE GILBERT STALLBAUMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
112 N 9TH ST, SABETHA, KS 66534-1806
(785) 284-2323
Mailing address
1680 KANSAS RD, SABETHA, KS 66534-2505
(785) 285-1830

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61488
KS

Other

Enumeration date
06/15/2021
Last updated
06/15/2021
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