Organization
DENTURES DIRECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELL DARREN GALLAHER DMD (OWNER)
(770) 287-0310
Entity
Organization
Contact information
Practice address
1026 THOMPSON BRIDGE RD, GAINESVILLE, GA 30501-1704
(770) 287-0310
(770) 297-8477
Mailing address
1026 THOMPSON BRIDGE RD, GAINESVILLE, GA 30501-1704
(770) 287-0310
(770) 297-8477
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
013665
GA
1223G0001X
General Practice Dentistry
Primary
11839
GA
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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