| Jose E. Gallegos, D.D.S., P.C. | |
|
13861 Hull Street Rd Suite 200 Midlothian VA 23112-2003 | |
| (804) 739-9190 | |
| (804) 739-9543 |
| Full Name | Jose E. Gallegos, D.D.S., P.C. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13861 Hull Street Rd, Midlothian, Virginia |
| Authorized Official Name and Position | Mary L Haynes (FINANCIAL COORDINATOR) |
| Authorized Official Contact | 8047399830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose E. Gallegos, D.D.S., P.C. 5424 Sunrise Bluff Ct Midlothian VA 23112-2516 Ph: (804) 739-4972 | Jose E. Gallegos, D.D.S., P.C. 13861 Hull Street Rd Suite 200 Midlothian VA 23112-2003 Ph: (804) 739-9190 |
| NPI Number | 1861555740 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861555740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401007260 (Virginia) | Primary |
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