Provider Demographics
NPI:1104522671
Name:CAZALI AND GALVEZ DDS INC
Entity type:Organization
Organization Name:CAZALI AND GALVEZ DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROLANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:CAZALI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:562-413-5959
Mailing Address - Street 1:9309 TELEGRAPH RD # B
Mailing Address - Street 2:
Mailing Address - City:PICO RIVERA
Mailing Address - State:CA
Mailing Address - Zip Code:90660-5424
Mailing Address - Country:US
Mailing Address - Phone:562-801-1284
Mailing Address - Fax:
Practice Address - Street 1:9309 TELEGRAPH RD # B
Practice Address - Street 2:
Practice Address - City:PICO RIVERA
Practice Address - State:CA
Practice Address - Zip Code:90660-5424
Practice Address - Country:US
Practice Address - Phone:562-801-1284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-06
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty