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Individual

DR. RICHARD GALLANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2838 N OLIVER ST, WICHITA, KS 67220-2983
(314) 341-3699
Mailing address
8220 E OXFORD CIR, APT. 9101, WICHITA, KS 67226-1863

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
2016016547
MO
122300000X
Dentist
Primary
61197
KS

Other

Enumeration date
08/22/2016
Last updated
08/22/2016
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