Individual
DR. GRANT EDWARD GALLIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1677 GAUSE BLVD STE A, SLIDELL, LA 70458-2209
(985) 718-3174
Mailing address
1504 HOMESTEAD AVE, METAIRIE, LA 70005-1159
(318) 376-7832
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7311
LA
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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