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Individual

DR. DIEGO ALBERTO GALLARDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
SUITE 201, GUAYNABO RADIOLOGY & MEDICAL PLAZA, 10 AVE LAS CUMBRES, GUAYNABO, PR 00969
(787) 233-7267
Mailing address
D2 CALLE 2 ALT. DE SANS SOUCI, BAYAMON, PR 00957
(787) 243-0269

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401415980
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3315
PR

Other

Enumeration date
07/19/2011
Last updated
09/29/2021
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