Individual
DR. RICHARD DEAN KUBICEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
920 2ND ST, FRIEND, NE 68359-1134
(402) 947-5111
Mailing address
920 2ND ST, FRIEND, NE 68359-1134
(402) 947-5111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5429
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47076363200
—
NE
Enumeration date
07/28/2006
Last updated
07/08/2007
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