Individual
DR. REBECCA GAILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5461 MERIDIAN MARK RD STE 200, ATLANTA, GA 30342-4014
(404) 731-0503
Mailing address
1205 IVY BROOK LN NE, BROOKHAVEN, GA 30319-4706
(404) 731-0503
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN123088
GA
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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