Provider Demographics
NPI:1134357858
Name:GALANG, RAEMUND P (DMD)
Entity type:Individual
Prefix:DR
First Name:RAEMUND
Middle Name:P
Last Name:GALANG
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 1:901 CAMPUS DR
Mailing Address - Street 2:SUITE 201 PHYSICIANS MEDICAL BUILDING
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-4900
Mailing Address - Country:US
Mailing Address - Phone:650-991-7055
Mailing Address - Fax:650-991-7485
Practice Address - Street 1:901 CAMPUS DR
Practice Address - Street 2:SUITE 201 PHYSICIANS MEDICAL BUILDING
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-4900
Practice Address - Country:US
Practice Address - Phone:650-991-7055
Practice Address - Fax:650-991-7485
Is Sole Proprietor?:No
Enumeration Date:2009-07-01
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51582122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist