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1124652540
JUSTIN PHILLIP GALLIANI
FORT GORDON, GA
NPI
1124652540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D11268)
Additional Taxonomies
122300000X Dentist
(Licence: CA 108680)
Enumeration Date
2020-02-25
Last Update Date
2023-05-11
Business Address
Dr. JUSTIN PHILLIP GALLIANI DDS
38801 ACADEMIC DRIVE SUITE B & C
FORT GORDON, GA 30905-5660
Phone number: 707-694-6032
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Mailing Address
Dr. JUSTIN PHILLIP GALLIANI DDS
3605 CORBETT ST
CORONA, CA 92882-6601
Phone number: 707-694-6032
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