Provider Demographics
NPI:1558558874
Name:PALAIOLOGOU-GALLIS, ANGELA ARCHONTIA (DDS, MS)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:ARCHONTIA
Last Name:PALAIOLOGOU-GALLIS
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:ARCHONTIA
Other - Middle Name:ANGELOS
Other - Last Name:PALAIOLOGOU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS, MS
Mailing Address - Street 1:8210 FLOYD CURL DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3923
Mailing Address - Country:US
Mailing Address - Phone:210-567-3567
Mailing Address - Fax:
Practice Address - Street 1:8210 FLOYD CURL DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3923
Practice Address - Country:US
Practice Address - Phone:210-567-3567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX344971223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics