Individual
DR. LIDIO GREGORIO RAINALDI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
501 NIZHONI BLVD, STE A, GALLUP, NM 87301
(505) 863-9363
(505) 863-2554
Mailing address
501 NIZHONI BLVD, STE A, GALLUP, NM 87301
(505) 863-9363
(505) 863-2554
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NM1449
NM
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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