1601 2ND STREET GALLUP PROFESSIONAL, LLC

NPI: 1386309870 · Organization · Active

Primary Specialty

General Practice Dentistry
Dentist — General Practice

Practice Location

1601 S SECOND ST
GALLUP, NM 87301-5816 Map ↗
Phone: 505-722-4422
Fax: 505-722-2060

All Specialties & Licenses

  • General Practice Dentistry Primary — General Practice

NPI Registration

Enumerated: 2021-11-01

Last CMS Update: 2021-11-01