Individual
AUSTIN N GALLANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1901 E MAIN ST, LEAGUE CITY, TX 77573-4242
(281) 332-6323
Mailing address
4464 DINASTIA VIEW CT, LEAGUE CITY, TX 77573-3349
(281) 957-9665
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27069
TX
Other
Enumeration date
06/22/2011
Last updated
09/15/2011
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