Individual
DR. BOB G GOLLAHER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3850 S MERIDIAN, 5, PUYALLUP, WA 98373-3701
(253) 864-0310
Mailing address
3850 S MERIDIAN, 5, PUYALLUP, WA 98373-3701
(253) 864-0310
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
26856
CA
122300000X
Dentist
Primary
DE00008497
WA
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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