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1649725425
RICHARD GALLANT
WICHITA, KS
NPI
1649725425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: KS 61197)
Additional Taxonomies
122300000X Dentist
(Licence: MO 2016016547)
Enumeration Date
2016-08-22
Last Update Date
2016-08-22
Business Address
Dr. RICHARD GALLANT
2838 N OLIVER ST
WICHITA, KS 67220-2983
Phone number: 314-341-3699
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Mailing Address
Dr. RICHARD GALLANT
8220 E OXFORD CIR APT. 9101
WICHITA, KS 67226-1863
Phone number:
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