DR. Lidio Gregorio Rainaldi JR., DDS

NPI #1437165255 in Gallup, New Mexico

Provider Information

NPI Number: 1437165255
Entity Type: Individual
Name: DR. Lidio Gregorio Rainaldi JR., DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 501 NIZHONI BLVD
Address 2: STE A
City: Gallup
State: New Mexico
ZIP Code: 87301
Phone: (505) 863-9363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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