| Rachel J. Mallya, D.m.d., P.c | |
|
27 Garrett Rd Upper Darby PA 19082-2302 | |
| (610) 352-7766 | |
| (610) 352-6626 |
| Full Name | Rachel J. Mallya, D.m.d., P.c |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 27 Garrett Rd, Upper Darby, Pennsylvania |
| Authorized Official Name and Position | Rachel Jacob Mallya (PRESIDENT) |
| Authorized Official Contact | 6103527766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel J. Mallya, D.m.d., P.c 27 Garrett Rd Upper Darby PA 19082-2302 Ph: (610) 352-7766 | Rachel J. Mallya, D.m.d., P.c 27 Garrett Rd Upper Darby PA 19082-2302 Ph: (610) 352-7766 |
| NPI Number | 1366651176 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366651176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS026140-L (Pennsylvania) | Primary |
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