Jolene Gallo Vandolah
Dental Hygienist
1837 Puye Rd
Santa Fe
, New Mexico 87505-3334
Jolene Gallo Vandolah
Dental Hygienist
1837 Puye Rd
Santa Fe
, New Mexico 87505-3334
(505) 603-0040
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Jolene Gallo Vandolah
- 1837 Puye Rd
- Santa Fe, NM
- Zip : 87505-3334
- Phone : (505) 603-0040
Second Address
- Jolene Gallo Vandolah
- 1837 Puye Rd
- Santa Fe, NM
- Zip : 87505-3334
- Phone : (505) 603-0040
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What type of doctor is Jolene Gallo Vandolah
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Is Jolene Gallo Vandolah a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH 862 | NM |
National Provider Identifier
| NPI | 1073930244 |
|---|---|
| Provider Name | Jolene Gallo Vandolah |
| First Address | Santa Fe, NM 87505-3334 |
| Second Address | Santa Fe, NM 87505-3334 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/03/2014 |
| Last Update Date | 25/03/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| DH 862 | (05) | NM |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.