Individual
DR. ELVIRA MARIA GALLARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1949 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5535
(772) 398-0990
(772) 398-0939
Mailing address
222 NEW HAVEN BLVD, JUPITER, FL 33458-2831
(561) 694-8103
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN0011978
FL
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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