Individual
DR. RICHARD ALAN GALOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
21 N PORTLAND ST, FOND DU LAC, WI 54935-3465
(920) 921-1150
Mailing address
21 N PORTLAND ST, FOND DU LAC, WI 54935-3465
(920) 921-1150
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4001877E
WI
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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