Individual
DR. GARY LESLIE DOLLENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1628 S CAMPBELL AVE, SPRINGFIELD, MO 65807
(417) 862-0782
(417) 862-3866
Mailing address
1628 S CAMPBELL AVE, SPRINGFIELD, MO 65807
(417) 862-0782
(417) 862-3866
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
015326
MO
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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