# JWD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Golden Block Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518934033
- **Authorized official:** DR. WINAH GALLAGHER D.M.D. (PRESIDENT)
- **Authorized official phone:** (215) 739-2300

## Contact information

- **Practice address:** 2757 N 5TH ST, PHILADELPHIA, PA 19133-2702
- **Practice address phone:** (215) 739-2300
- **Practice address fax:** (215) 739-2334
- **Mailing address:** 2757 N 5TH ST, PHILADELPHIA, PA 19133-2702
- **Mailing address phone:** (215) 739-2300
- **Mailing address fax:** (215) 739-2334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS030007L | PA | Yes |

## Other

- **Enumeration date:** 03/02/2006
- **Last updated:** 03/21/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01656200 | — | PA |