Individual
DR. DORA ELENA GALLEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12336 MEADOWBROOK LN, POWAY, CA 92064-3508
(201) 919-3164
Mailing address
12336 MEADOWBROOK LN, POWAY, CA 92064-3508
(201) 919-3164
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
57930
CA
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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