Individual
SANDRA L GALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
324 SE 9TH AVE, SUITE C, HILLSBORO, OR 97123-4247
(503) 615-8832
Mailing address
324 SE 9TH AVE, SUITE C, HILLSBORO, OR 97123-4247
(503) 615-8832
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D7359
OR
1223G0001X
General Practice Dentistry
Primary
D7359
OR
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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