Organization
DR KENNETH R GALLION A PROFESSIONAL DENTAL CORP
Active
Other names
Southwest Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH R GALLION DDS (DENTIST OWNER PRESIDENT)
(760) 770-0236
Entity
Organization
Contact information
Practice address
68820 RAMON RD, CATHEDRAL CITY, CA 92234
(760) 770-0236
(760) 770-9758
Mailing address
68820 RAMON RD, CATHEDRAL CITY, CA 92234
(760) 770-0236
(760) 770-9758
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
39405
CA
Other
Enumeration date
10/19/2006
Last updated
08/22/2020
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