Individual
DR. DYLAN CHRISTOPHER GAILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2526 S 140TH ST, OMAHA, NE 68144-2339
(402) 333-6080
Mailing address
324 S 49TH AVE, OMAHA, NE 68132-3504
(402) 980-2991
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6981
NE
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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