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1891776076
RICHARD ALLEN LOLKUS
FORT WAYNE, IN
NPI
1891776076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CO 5481)
Enumeration Date
2005-11-07
Last Update Date
2007-07-08
Business Address
Dr. RICHARD ALLEN LOLKUS DDS
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-421-1045
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Mailing Address
Dr. RICHARD ALLEN LOLKUS DDS
8310 SUMMERSET PL
FORT WAYNE, IN 46825-6439
Phone number: 260-489-7060
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