Individual
DR. CASEY JAN LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
530 CHAUVET DR, PITTSBURGH, PA 15275-1050
(412) 876-8003
(412) 859-3040
Mailing address
530 CHAUVET DR, PITTSBURGH, PA 15275-1050
(412) 876-8003
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS043242
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/02/2022
Last updated
09/27/2023
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