Individual
DR. KELL DARREN GALLAHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1026 THOMPSON BRIDGE RD, GAINESVILLE, GA 30501-1704
(770) 297-0401
(770) 297-8477
Mailing address
1026 THOMPSON BRIDGE RD, GAINESVILLE, GA 30501-1704
(770) 297-0401
(770) 297-8477
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011839
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00883099B
—
GA
Enumeration date
03/16/2006
Last updated
10/16/2007
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