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Organization
SUSAN JS MALONE, DDS, PC
Active
Organization
SUSAN JS MALONE, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MALONE DDS (OWNER)
(231) 347-6932
Entity
Organization
Contact information
Practice address
231 STATE ST, PETOSKEY, MI 49770-2785
(231) 347-6932
(231) 347-0292
Mailing address
231 STATE ST, PETOSKEY, MI 49770-2785
(231) 347-6932
(231) 347-0292
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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