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Dr. Grant Edward Gallien, DDS

Dentist, General Practice in Slidell, LA. Individual provider (NPI-1).

NPI number1104557230
StatusActive
Last updated in NPPESJun 20, 2022

Details

NPI
1104557230
Entity type
Individual (NPI-1)
Name
Dr. Grant Edward Gallien
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Jun 20, 2022
Certification date
Mar 26, 2022
Last updated
Jun 20, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice7311LAYes

Practice location

1677 Gause Blvd Ste A
Slidell, LA 70458-2209

Phone 985-718-3174

Mailing address

1504 Homestead Ave
Metairie, LA 70005-1159

Phone 318-376-7832

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