Provider Demographics
NPI:1215364864
Name:GALAID, PAUL (DMD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:
Last Name:GALAID
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 COMMON ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-4718
Mailing Address - Country:US
Mailing Address - Phone:508-653-5390
Mailing Address - Fax:508-318-4023
Practice Address - Street 1:1 COMMON ST
Practice Address - Street 2:SUITE B
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-4718
Practice Address - Country:US
Practice Address - Phone:508-653-5390
Practice Address - Fax:508-318-4023
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-27
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA16582122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist