| Lidio Rainaldi Dds, Pc | |
|
501 E Nizhoni Blvd Suite A Gallup NM 87301-5757 | |
| (505) 863-9363 | |
| Not Available |
| Full Name | Lidio Rainaldi Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 501 E Nizhoni Blvd, Gallup, New Mexico |
| Authorized Official Name and Position | Lidio G Rainaldi (OWNER) |
| Authorized Official Contact | 5058639363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lidio Rainaldi Dds, Pc 501 E Nizhoni Blvd Suite A Gallup NM 87301-5757 Ph: (505) 863-9363 | Lidio Rainaldi Dds, Pc 501 E Nizhoni Blvd Suite A Gallup NM 87301-5757 Ph: (505) 863-9363 |
| NPI Number | 1629319140 |
|---|---|
| Provider Enumeration Date | 03/07/2013 |
| Last Update Date | 03/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629319140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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