Organization
GALLUCCI DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA N GALLUCCI DMD (DENTIST/OWNER)
(856) 983-0546
Entity
Organization
Contact information
Practice address
24 E MAIN ST, MARLTON, NJ 08053-2157
(856) 983-0546
(856) 596-3093
Mailing address
24 E MAIN ST, MARLTON, NJ 08053-2157
(856) 983-0546
(856) 596-3093
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
02/14/2017
Last updated
08/11/2022
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