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1194350058
FAVIO GALLEGOS
HONOLULU, HI
NPI
1194350058
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-10
Last Update Date
2020-03-10
Business Address
Dr. FAVIO GALLEGOS DDS
2239 N SCHOOL ST
HONOLULU, HI 96819-2539
Phone number: 818-614-8773
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Mailing Address
Dr. FAVIO GALLEGOS DDS
18115 GAULT ST
RESEDA, CA 91335-4538
Phone number: 818-614-8773
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