Organization
GALLO PEDIATRIC DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA CLARK (REVENUE CYCLE DIRECTOR)
(813) 451-4503
Entity
Organization
Contact information
Practice address
7 SOUTHWOODS BLVD, ALBANY, NY 12211-2514
(518) 242-7800
Mailing address
7 SOUTHWOODS BLVD, ALBANY, NY 12211-2514
(813) 451-4503
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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