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Organization
RACHEL J. MALLYA, D.M.D., P.C
Active
Organization
RACHEL J. MALLYA, D.M.D., P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL JACOB MALLYA D.M.D (PRESIDENT)
(610) 352-7766
Entity
Organization
Contact information
Practice address
27 GARRETT RD, UPPER DARBY, PA 19082-2302
(610) 352-7766
(610) 352-6626
Mailing address
27 GARRETT RD, UPPER DARBY, PA 19082-2302
(610) 352-7766
(610) 352-6626
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS026140-L
PA
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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