Organization
LIDIO RAINALDI DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIDIO G RAINALDI (OWNER)
(505) 863-9363
Entity
Organization
Contact information
Practice address
501 E NIZHONI BLVD, SUITE A, GALLUP, NM 87301-5757
(505) 863-9363
Mailing address
501 E NIZHONI BLVD, SUITE A, GALLUP, NM 87301-5757
(505) 863-9363
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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