Lidio Rainaldi DDS, PC
Dentist, General Practice in Gallup, NM. Organization (NPI-2).
NPI number1629319140
StatusActive
Last updated in NPPESMar 7, 2013
Details
- NPI
- 1629319140
- Entity type
- Organization (NPI-2)
- Legal business name
- Lidio Rainaldi DDS, PC
- Organization subpart
- No
- Enumeration date
- Mar 7, 2013
- Last updated
- Mar 7, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
501 E Nizhoni BlvdSuite A
Gallup, NM 87301-5757
Phone 505-863-9363
Mailing address
501 E Nizhoni BlvdSuite A
Gallup, NM 87301-5757
Phone 505-863-9363
Authorized official
Lidio G Rainaldi
Owner
5058639363
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