DR. Grant Edward Gallien, DDS

NPI #1104557230 in Slidell, Louisiana

Provider Information

NPI Number: 1104557230
Entity Type: Individual
Name: DR. Grant Edward Gallien, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 20, 2022
Last Updated: Jun 20, 2022

Practice Location

Address: 1677 GAUSE BLVD STE A
City: Slidell
State: Louisiana
ZIP Code: 70458-2209
Phone: (985) 718-3174

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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