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Individual
SHELLY MARIE GALLEGOS
Active
Individual
SHELLY MARIE GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
26071
TX
122300000X
Dentist
DD 34 04
NM
Other
Enumeration date
06/30/2008
Last updated
09/13/2012
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