Individual
DR. AMANDA K GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
14361
MD
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN1855644
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DS037581
PA
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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