Individual
DR. FAVIO GALLEGOS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2239 N SCHOOL ST, HONOLULU, HI 96819-2539
(818) 614-8773
Mailing address
18115 GAULT ST, RESEDA, CA 91335-4538
(818) 614-8773
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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