Gallo Dental Care, Llc

NPI 1457504573 - Clinic/Center - 261QD0000X

NPI Details
NPI 1457504573
Enumeration Date 11/03/2008
Last Updated 11/03/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name LIA P. LIA
Position PRESIDENT
Phone (770) 534-6933
Fax (770) 535-7882
Practice Location
950 WASHINGTON ST
SUITE J
GAINESVILLE GA, 30501-3542, US
Phone (770) 534-6933
Fax (770) 535-7882
Business Location
950 WASHINGTON ST
SUITE J
GAINESVILLE GA, 30501-3542, US
Phone (770) 534-6933
Fax (770) 535-7882
Toxanomy
Taxonomy Code 261QD0000X
License State Georgia
License Number DN013677
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According to our database, Gallo Dental Care, Llc NPI is 1457504573, taxonomy code is 261QD0000X and license number is DN013677, license state is located at Georgia. Gallo Dental Care, Llc physically located at 950 Washington St, Gainesville GA, 30501-3542. NPI Number 1033115704 has the healthcare provider type.

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1457504573 NPI number is provided on an as is basis without warranty of any kind. 1457504573 is maintained by the National Plan & Provider Enumeration System. The contents of Gallo Dental Care, Llc are for informational purposes only.