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General NPI Number Information
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NPI Number | 1548483274
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Entity Type | Organization
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Legal Business Name | GREGORY GALLAND DMD PA
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 848 NE 20 AVE
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City | FT LAUDERDALE
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State | FL
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Zip | 33304
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Country | US
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Telephone | 954-764-3387
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Fax | 954-525-1275
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Provider Business Mailing Address
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Address Line | 848 NE 20 AVE
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City | FT LAUDERDALE
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State | FL
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Zip | 33304
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Country | US
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Telephone | 954-764-3387
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Fax | 954-525-1275
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Authorized Official
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Title or Position | PRES
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Name | DR. GREGORY L GALLAND
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Credential |
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Telephone | 954-764-3387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | F5908
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License Number State | FL
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