Individual
DR. PAUL J GALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDA
Contact information
Practice address
106 NOROTON AVE, MIDDLESEX DENTAL GROUP PC, DARIEN, CT 06820-5237
(203) 655-9922
(203) 655-9597
Mailing address
106 NOROTON AVE, MIDDLESEX DENTAL GROUP PC, DARIEN, CT 06820-5237
(203) 655-9922
(203) 655-9597
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4093
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020004093CT01
BC BS
CT
Enumeration date
04/17/2007
Last updated
07/08/2007
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