Individual provider · NPI-1

Dr. Geraldine Ocampo Gallant, D.D,S,

Dentist, General Practice · Mount Clemens, MI

NPI number1386894384
StatusActive
Last updated in NPPESSep 25, 2008

Details

NPI
1386894384
Entity type
Individual (NPI-1)
Name
Dr. Geraldine Ocampo Gallant
Credential
D.D,S,
Sex
Female
Sole proprietor
No
Enumeration date
Sep 25, 2008
Last updated
Sep 25, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice2901016818MIYes

Practice location

1448 Southbound Gratiot Ave
Mount Clemens, MI 48043-6533

Phone 586-954-3840

Mailing address

74 Oxford Rd
Grosse Pointe Shores, MI 48236-1829

Phone 313-882-6870

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