Individual
DR. ANDREW RODES GALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
132 WALNUT AVE, GRAND JUNCTION, CO 81501-7474
(970) 245-1758
(970) 245-1759
Mailing address
132 WALNUT AVE, GRAND JUNCTION, CO 81501-7474
(970) 245-1758
(970) 245-1759
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6467
CO
332B00000X
Durable Medical Equipment & Medical Supplies
6467
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84-1376365
TIM
CO
Enumeration date
08/01/2005
Last updated
07/30/2019
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