Organization
PASQUALE J GALLELLI DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PASQUALE J GALLELLI DMD PC (OWNER DENTIST)
(215) 462-6229
Entity
Organization
Contact information
Practice address
1815 SO BROAD STREET, PHILADELPHIA, PA 19148
(215) 462-6229
(215) 467-9080
Mailing address
1815 SO BROAD STREET, PHILADELPHIA, PA 19148
(215) 462-6229
(215) 467-9080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS024316L
PA
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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