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1003894684
ALAN THIBAULT
WICHITA, KS
NPI
1003894684
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223E0200X Dentist, Endodontics
(Licence: KS 6292)
Enumeration Date
2006-01-04
Last Update Date
2008-06-13
Business Address
Dr. ALAN THIBAULT D.D.S., P.A.
3900 W CENTRAL AVE STE 100
WICHITA, KS 67203-4928
Phone number: 316-616-1310
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Mailing Address
Dr. ALAN THIBAULT D.D.S., P.A.
4316 S HALSTEAD RD
HALSTEAD, KS 67056-9288
Phone number:
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