| NPI | 1811007776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PASQUALE J GALLELLI Owner Dentist 215-462-6229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS024316L) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |