Individual
GERALD AUBREY DALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 E WADSWORTH AVE, PHILADELPHIA, PA 19150-1615
(215) 247-6337
(215) 247-1647
Mailing address
1501 E WADSWORTH AVE, PHILADELPHIA, PA 19150-1615
(215) 247-6337
(215) 247-1647
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0DS19124L
PA
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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