| Galen Van Blaricum, Dds, Pa | |
|
3310 Mesa Way Lawrence KS 66049-2361 | |
| (785) 843-2636 | |
| (785) 838-9577 |
| Full Name | Galen Van Blaricum, Dds, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3310 Mesa Way, Lawrence, Kansas |
| Authorized Official Name and Position | Galen R Van Blaricum (OWNER) |
| Authorized Official Contact | 7858432636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Galen Van Blaricum, Dds, Pa 3310 Mesa Way Lawrence KS 66049-2361 Ph: (785) 843-2636 | Galen Van Blaricum, Dds, Pa 3310 Mesa Way Lawrence KS 66049-2361 Ph: (785) 843-2636 |
| NPI Number | 1619075439 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619075439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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