Individual
DR. GERALDINE OCAMPO GALLANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D,S,
Contact information
Practice address
1448 SOUTHBOUND GRATIOT AVE, MOUNT CLEMENS, MI 48043-6533
(586) 954-3840
Mailing address
74 OXFORD RD, GROSSE POINTE SHORES, MI 48236-1829
(313) 882-6870
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901016818
MI
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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