Individual
DR. KYLE WIBLISHOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11110 FORT ST STE 106, OMAHA, NE 68164-2183
(402) 492-8300
Mailing address
9230 CHESTNUT DR, BENNINGTON, NE 68007-1701
(402) 306-9456
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7642
NE
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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