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Individual

MS. DOMINIQUE J GALLOTTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
236 S LARCHMONT BLVD, LOS ANGELES, CA 90004-3711
(323) 377-2072
Mailing address
236 S LARCHMONT BLVD, LOS ANGELES, CA 90004-3711
(323) 377-2072

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
AC6769
CA

Other

Enumeration date
04/23/2013
Last updated
04/23/2013
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