John M Gallucci Dmd PC
NPI #1194125351 in Oregon City, Oregon
Provider Information
- NPI Number
- 1194125351
- Entity Type
- Organization
- Organization Name
- John M Gallucci Dmd PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 25, 2014
- Last Updated
- Sep 30, 2014
Practice Location
- Address
- 1017 MOLALLA AVE
- Address 2
- SUITE 1
- City
- Oregon City
- State
- Oregon
- ZIP Code
- 97045-3772
- Phone
- (503) 657-7770
Authorized Official
- Name
- DR. JOHN MATTHEW GALLUCCI, D.M.D.
- Title
- PRESIDENT
- Phone
- (503) 657-7770
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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