Individual
MRS. DENISE PATRICIA GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
1538 BURRARD AVE, COMMERCE, CA 90022-5403
(323) 620-0594
Mailing address
1538 BURRARD AVE, COMMERCE, CA 90022-5403
(323) 620-0594
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
58886
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58886
REGISTERED DENTAL ASSISTA
CA
Enumeration date
05/29/2007
Last updated
07/08/2007
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