Organization · Type 2 NPI

Dylan C Gaillard, Dds, LLC

Dental Clinic/Center · Omaha, NE

NPI number 1326535261 Active

Practice location

12828 Augusta Ave
Omaha, NE 68144-3733

Fax (402) 334-0215

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

Another provider at this address

Kelsey Beth Schomburg PetersSpeech-Language Pathologist Omaha, NE NPI 1124670153

Other dental clinic/center providers in Omaha

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NPI record

NPI: 1326535261
Entity type: Organization (Type 2)
Issued: Apr 17, 2018
Last updated: Apr 17, 2018
Status: Active
Subpart: Yes of Dylan C Gaillard, Dds, LLC

Other names

<unavail>
Augusta Dental · doing business as
Augusta Dental · doing business as

Authorized official

Dr. Dylan C Gaillard, DDS
Dentist/owner
(402) 334-5052

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About NPI 1326535261

Dylan C Gaillard, Dds, LLC's National Provider Identifier is 1326535261, issued on Apr 17, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Omaha, NE. The record was last updated on Apr 17, 2018.