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Individual

DR. MARY-STUART GALLIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D

Contact information

Practice address
10090 MAIN ST STE 201, FAIRFAX, VA 22031-3412
(703) 273-4500
(703) 273-9067
Mailing address
10090 MAIN ST STE 201, FAIRFAX, VA 22031-3412
(703) 273-4500
(703) 273-9067

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412122
VA
1223G0001X
General Practice Dentistry
5556
AL

Other

Enumeration date
07/03/2007
Last updated
06/17/2008
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