Organization
DYLAN C GAILLARD, DDS, LLC
Active
Parent organization
DYLAN C GAILLARD, DDS, LLC
Other names
Augusta Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
DYLAN C GAILLARD, DDS, LLC
Authorized official
DR. DYLAN C GAILLARD DDS (DENTIST/OWNER)
(402) 334-5052
Entity
Organization
Contact information
Practice address
12828 AUGUSTA AVE, OMAHA, NE 68144-3733
(402) 334-5052
(402) 334-0215
Mailing address
12828 AUGUSTA AVE, OMAHA, NE 68144-3733
(402) 334-5052
(402) 334-0215
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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