GRANT EDWARD GALLIEN

SLIDELL, LA
NPI1104557230
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: LA  7311)
Enumeration Date2022-06-20
Last Update Date2022-06-20
Business Address
DR. GRANT EDWARD GALLIEN DDS
1677 GAUSE BLVD STE A
SLIDELL, LA 70458-2209
Phone number: 985-718-3174
Mailing Address
DR. GRANT EDWARD GALLIEN DDS
1504 HOMESTEAD AVE
METAIRIE, LA 70005-1159
Phone number: 318-376-7832