# GEHAN E. JALLAQ DDS WHITEHALL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Dentist's Office of Whitehall
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467009100
- **Authorized official:** GEHAN E JALLAQ (OFFICE MANAGER)
- **Authorized official phone:** (614) 236-1700

## Contact information

- **Practice address:** 3264 E MAIN ST, COLUMBUS, OH 43213-2738
- **Practice address phone:** (614) 236-1700
- **Practice address fax:** (614) 236-1777
- **Mailing address:** 3264 E MAIN ST, COLUMBUS, OH 43213-2738
- **Mailing address phone:** (614) 236-1700
- **Mailing address fax:** (614) 236-1777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/19/2019
- **Last updated:** 08/19/2019