Frederick C. Lally, D.D.S,

NPI #1275676488 in Tunkhannock, Pennsylvania

Provider Information

NPI Number: 1275676488
Entity Type: Individual
Name: Frederick C. Lally, D.D.S,
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S,
Enumeration Date: Feb 15, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 164 W TIOGA ST
City: Tunkhannock
State: Pennsylvania
ZIP Code: 18657-1466
Phone: (570) 836-6362

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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