Individual
DR. MICHAEL ROBERT GALLUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1249 OAKLAWN AVE, CRANSTON, RI 02920-2621
(401) 463-8000
Mailing address
1249 OAKLAWN AVE, CRANSTON, RI 02920-2621
(401) 463-8000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN03505
RI
Other
Enumeration date
06/08/2020
Last updated
12/12/2020
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