Organization
GALLEGOS FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP M GALLEGOS DDS (OWNER/DENTIST)
(505) 550-8886
Entity
Organization
Contact information
Practice address
4411 MONTANO RD NW, SUITE D, ALBUQUERQUE, NM 87120-3235
(505) 550-8886
Mailing address
4605 BUTLER AVE NW, ALBUQUERQUE, NM 87114-4259
(505) 550-8886
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD3493
NM
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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