Individual
DR. KEVIN J WIBICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4 CEDAR RIDGE DR, LAKE IN THE HILLS, IL 60156-4712
(847) 458-4758
(847) 458-4760
Mailing address
4 CEDAR RIDGE DR, LAKE IN THE HILLS, IL 60156-4712
(847) 458-4758
(847) 458-4760
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019021866
IL
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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