Individual
RACHEL JACOB MALLYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
27 GARRETT RD, UPPER DARBY, PA 19082-2302
(610) 352-7766
Mailing address
27 GARRETT RD, UPPER DARBY, PA 19082-2302
(610) 352-7766
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS026140-L
PA
Other
Enumeration date
06/04/2006
Last updated
07/08/2007
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