Wibicki Family Dental PC
NPI #1811216146 in Lake in the Hills, Illinois
Provider Information
- NPI Number
- 1811216146
- Entity Type
- Organization
- Organization Name
- Wibicki Family Dental PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 26, 2010
- Last Updated
- May 26, 2010
Practice Location
- Address
- 4 CEDAR RIDGE DRIVE
- Address 2
- 4F
- State
- Illinois
- ZIP Code
- 60156
- Phone
- (847) 458-4758
Authorized Official
- Name
- DR. KEVIN J WIBICKI, D.D.S.
- Title
- PRESIDENT
- Phone
- (847) 458-4758
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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