| Wibicki Family Dental Pc | |
|
4 Cedar Ridge Drive 4f Lake In The Hills IL 60156 | |
| (847) 458-4758 | |
| Not Available |
| Full Name | Wibicki Family Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4 Cedar Ridge Drive, Lake In The Hills, Illinois |
| Authorized Official Name and Position | Kevin J Wibicki (PRESIDENT) |
| Authorized Official Contact | 8474584758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wibicki Family Dental Pc 4 Cedar Ridge Drive 4f Lake In The Hills IL 60156 Ph: (847) 458-4758 | Wibicki Family Dental Pc 4 Cedar Ridge Drive 4f Lake In The Hills IL 60156 Ph: (847) 458-4758 |
| NPI Number | 1811216146 |
|---|---|
| Provider Enumeration Date | 05/26/2010 |
| Last Update Date | 05/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811216146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019021866 (Illinois) | Primary |
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