Individual
JESSE H GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
540 UNION AVE, GRANTS PASS, OR 97527-5544
(541) 476-7781
(541) 471-9366
Mailing address
540 UNION AVE, GRANTS PASS, OR 97527-5544
(541) 476-7781
(541) 471-9366
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9124
OR
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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