NPI | 1780679878 |
---|---|
Other Name | E. DANIEL GALL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0300X Dentist Periodontics (Licence: AZ D7216) |
Additional Taxonomies | 1223P0300X Dentist Periodontics (Licence: TX 1099689) |
Enumeration Date | 2005-09-14 |
Last Update Date | 2010-09-27 |