BOB G GOLLAHER

PUYALLUP, WA
NPI1700947702
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: WA  DE00008497)
Additional Taxonomies122300000X Dentist
(Licence: CA  26856)
Enumeration Date2006-12-13
Last Update Date2007-07-08
Business Address
Dr. BOB G GOLLAHER
3850 S MERIDIAN 5
PUYALLUP, WA 98373-3701
Phone number: 253-864-0310
Mailing Address
Dr. BOB G GOLLAHER
3850 S MERIDIAN 5
PUYALLUP, WA 98373-3701
Phone number: 253-864-0310
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