KENNETH LEGAULT

INDIANAPOLIS, IN
NPI1841361011
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12008504A)
Enumeration Date2006-11-10
Last Update Date2007-07-09
Business Address
-- KENNETH LEGAULT
5430 E WASHINGTON ST
INDIANAPOLIS, IN 46219-6446
Phone number: 317-322-1840
Mailing Address
-- KENNETH LEGAULT
415 N GRAND AVE
PUEBLO, CO 81003-3111
Phone number: 719-583-1800
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