Individual
DR. DALE MARK GALLAGHER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12210 PECAN ST, AUSTIN, TX 78727-6109
(512) 258-1636
Mailing address
12210 PECAN ST, AUSTIN, TX 78727-6109
(512) 258-1636
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
14399
TX
Other
Enumeration date
06/11/2005
Last updated
07/09/2007
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