Provider Demographics
NPI:1225260789
Name:GALVEZ, MARIA ELENA STEPHANI GALANG (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARIA ELENA STEPHANI
Middle Name:GALANG
Last Name:GALVEZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1107 HUNTERS WAY
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-7967
Mailing Address - Country:US
Mailing Address - Phone:216-544-7707
Mailing Address - Fax:
Practice Address - Street 1:1313 W BOGART RD
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-5704
Practice Address - Country:US
Practice Address - Phone:419-627-1255
Practice Address - Fax:419-627-0422
Is Sole Proprietor?:No
Enumeration Date:2009-08-18
Last Update Date:2011-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-0235231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice