Organization
GALLO DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIA P. URREGO D.D.S (PRESIDENT)
(770) 534-6933
Entity
Organization
Contact information
Practice address
950 WASHINGTON ST, SUITE J, GAINESVILLE, GA 30501-3542
(770) 534-6933
(770) 535-7882
Mailing address
950 WASHINGTON ST, SUITE J, GAINESVILLE, GA 30501-3542
(770) 534-6933
(770) 535-7882
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN013677
GA
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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