Organization
DALE M. GALLAGHER, D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY DARLENE YOUNG (PRACTICE MANAGER)
(512) 258-1636
Entity
Organization
Contact information
Practice address
12210 PECAN ST, AUSTIN, TX 78727-6109
(512) 258-1636
(512) 258-6352
Mailing address
12210 PECAN ST, AUSTIN, TX 78727-6109
(512) 258-1636
(512) 258-6352
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
14399
TX
Other
Enumeration date
06/15/2007
Last updated
08/22/2020
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