Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 5500 | AZ |
NPI | 1053318642 |
---|---|
Provider Name | Dr. Daniel Fernando Galindo |
First Address | Scottsdale, AZ 85254-1256 |
Second Address | Scottsdale, AZ 85254-1256 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2005 |
Last Update Date | 08/07/2007 |