Individual
GARY ROBERT RACCUGLIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
501 MAIN ST, WELLSVILLE, KS 66092-8724
(785) 883-2222
Mailing address
6812 W 125TH ST, OVERLAND PARK, KS 66209-2586
(913) 345-9122
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5323
KS
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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