Individual
PHILIP M GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6500 JEFFERSON ST NE, SUITE 250, ALBUQUERQUE, NM 87109-3489
(505) 298-7475
(505) 323-0997
Mailing address
6500 JEFFERSON ST NE, SUITE 250, ALBUQUERQUE, NM 87109-3489
(505) 298-7475
(505) 323-0997
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3493
NM
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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