Individual
ENRIQUE JOSE GALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
10830 NW 58TH ST, DORAL, FL 33178-2854
(786) 845-0800
(786) 845-0803
Mailing address
10830 NW 58TH ST, DORAL, FL 33178-2854
(786) 845-0800
(786) 845-0803
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN-15973
FL
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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