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Individual

DR. JAMES L GREGALOT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
4010 S 57TH AVE, SUITE 101, LAKE WORTH, FL 33463
(561) 968-1001
(561) 968-4102
Mailing address
1411 WOODCREST ROAD EAST, WEST PALM BEACH, FL 33417
(561) 968-1001
(561) 968-4102

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 007862
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
464674
ANTHEM
FL
01
467983
UNITED CONCORDIA
FL
01
60170
BLUE CROSS BLUE SHIELD
FL
01
ZDA572
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/03/2006
Last updated
07/08/2007
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