Gallo Dental Corporation
Dentist, General Practice in Fresno, CA. Organization (NPI-2).
NPI number1386830347
StatusActive
Last updated in NPPESSep 23, 2007
Details
- NPI
- 1386830347
- Entity type
- Organization (NPI-2)
- Legal business name
- Gallo Dental Corporation
- Organization subpart
- No
- Enumeration date
- Sep 23, 2007
- Last updated
- Sep 23, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 31040 | MI | Yes |
Other names
- Affinity Dental (Doing Business As)
Practice location
5690 N Fresno St Ste 101Fresno, CA 93710-8332
Phone 559-436-3470 · Fax 559-436-3465
Mailing address
5690 N Fresno St Ste 101Fresno, CA 93710-8332
Phone 559-436-3470 · Fax 559-436-3465
Authorized official
Susan Nitta
Office Administrator
5594363470
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