Doctor Name: | DR. MICHAEL RYAN GALADA |
NPI Number: | 1134559636 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.D.S |
License Number: | 29581 |
Business Practice Address: | 246 Town Center Pkwy Santee, CA - 920715803 |
Business Phone Number: | 6193126006 |
Business Fax Number: | |
Mailing Address: | 9237 Regents Rd, Apt 120 LA JOLLA |
State: | CA |
Postal Code: | 920379184 |
Phone Number: | 3478931862 |
Fax Number: | |
NPI Enumeration Date: | 11/19/2013 |
NPI Last Update Date: | 03/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 29581 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |