Organization
GALEN VAN BLARICUM, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GALEN R VAN BLARICUM DDS (OWNER)
(785) 843-2636
Entity
Organization
Contact information
Practice address
3310 MESA WAY, LAWRENCE, KS 66049-2361
(785) 843-2636
(785) 838-9577
Mailing address
3310 MESA WAY, LAWRENCE, KS 66049-2361
(785) 843-2636
(785) 838-9577
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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