Individual
ZACHARY THOMAS GALLUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3090 TALON DR, CASPER, WY 82604-3378
(307) 237-1801
Mailing address
3090 TALON DR, CASPER, WY 82604-3378
(307) 237-1801
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
14055900-9926
UT
122300000X
Dentist
Primary
1677
WY
Other
Enumeration date
06/27/2024
Last updated
07/07/2024
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