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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