Lidio Rainaldi Dds, PC
NPI #1629319140 in Gallup, New Mexico
Provider Information
- NPI Number
- 1629319140
- Entity Type
- Organization
- Organization Name
- Lidio Rainaldi Dds, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 7, 2013
- Last Updated
- Mar 7, 2013
Practice Location
- Address
- 501 E NIZHONI BLVD
- Address 2
- SUITE A
- City
- Gallup
- State
- New Mexico
- ZIP Code
- 87301-5757
- Phone
- (505) 863-9363
Authorized Official
- Name
- DR. LIDIO G RAINALDI
- Title
- OWNER
- Phone
- (505) 863-9363
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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