Individual
DR. NICOLAS GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6821 N COUNTRY HOMES BLVD, SPOKANE, WA 99208-4372
(801) 792-2999
Mailing address
6906 S MORAN VIEW ST, SPOKANE, WA 99224-8468
(801) 792-2999
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60967841
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84-1759763
PRIVATE PRACTICE
WA
Enumeration date
10/04/2016
Last updated
07/24/2019
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