Dr. Favio Gallegos Jr., DDS
Student in an Organized Health Care Education/Training Program in Honolulu, HI. Individual provider (NPI-1).
NPI number1194350058
StatusActive
Last updated in NPPESMar 10, 2020
Details
- NPI
- 1194350058
- Entity type
- Individual (NPI-1)
- Name
- Dr. Favio Gallegos Jr.
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 10, 2020
- Certification date
- Mar 10, 2020
- Last updated
- Mar 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
2239 N School StHonolulu, HI 96819-2539
Phone 818-614-8773
Mailing address
18115 Gault StReseda, CA 91335-4538
Phone 818-614-8773
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All 227 Student in an Organized Health Care Education/Training Program providers in Honolulu · All 15,929 providers in Honolulu
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