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Organization
GALLO DENTAL CORPORATION
Active
Organization
GALLO DENTAL CORPORATION
Active
Other names
Affinity Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN NITTA (OFFICE ADMINISTRATOR)
(559) 436-3470
Entity
Organization
Contact information
Practice address
5690 N FRESNO ST STE 101, FRESNO, CA 93710-8332
(559) 436-3470
(559) 436-3465
Mailing address
5690 N FRESNO ST STE 101, FRESNO, CA 93710-8332
(559) 436-3470
(559) 436-3465
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31040
MI
Other
Enumeration date
09/23/2007
Last updated
09/23/2007
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