Organization
FABRICE J GALLEZ, DDS, MS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FABRICE J GALLEZ DDS,MS (PRESIDENT)
(408) 356-9366
Entity
Organization
Contact information
Practice address
2581 SAMARITAN DR, SUITE #310, SAN JOSE, CA 95124-4113
(408) 356-9366
(408) 356-9735
Mailing address
2581 SAMARITAN DR, SUITE #310, SAN JOSE, CA 95124-4113
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
48268
CA
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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