Organization
DRS. MOSER AND GALLISDORFER,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY GALLISDORFER DDS (DENTIST-PARTNER)
(336) 768-7495
Entity
Organization
Contact information
Practice address
116 JONESTOWN RD, WINSTON SALEM, NC 27104-4617
(336) 768-7495
(336) 768-7499
Mailing address
116 JONESTOWN RD, WINSTON SALEM, NC 27104-4617
(336) 768-7495
(336) 768-7499
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5143
NC
Other
Enumeration date
05/07/2007
Last updated
08/22/2020
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