Individual provider · Type 1 NPI

Diego Alberto Gallardo

Oral and Maxillofacial Surgery (Dentist) · Guaynabo, PR

NPI number 1003104464 Active

Practice location

Suite 201, Guaynabo Radiology & Medical Plaza, 10 Ave Las Cumbres
Guaynabo, PR 00969

Mailing address

D2 Calle 2 Alt. De Sans Souci
Bayamon, PR 00957

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112X0401415980 (VA)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X3315 (PR)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1003104464

Diego Alberto Gallardo's National Provider Identifier is 1003104464, issued on Jul 19, 2011. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Guaynabo, PR. The record was last updated on Sep 29, 2021.