Individual
DR. ALEXIS LEIGH GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
6840 NORTHWAY DR NE, ROCKFORD, MI 49341-7568
(616) 863-0600
Mailing address
6412 SUMMER MEADOWS DR NE, ROCKFORD, MI 49341-7101
(517) 862-4249
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901022027
MI
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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