Individual
DR. JUSTIN PHILLIP GALLIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
38801 ACADEMIC DRIVE, SUITE B & C, FORT GORDON, GA 30905-5660
(707) 694-6032
Mailing address
3605 CORBETT ST, CORONA, CA 92882-6601
(707) 694-6032
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
108680
CA
122300000X
Dentist
Primary
D11268
OR
Other
Enumeration date
02/25/2020
Last updated
05/11/2023
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