Individual
DR. ROBERT WILLIAM MALLOY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
101 N 10TH AVE, BOZEMAN, MT 59715-3203
(406) 587-1811
(406) 585-0295
Mailing address
101 N 10TH AVE, BOZEMAN, MT 59715-3203
(406) 587-1811
(406) 585-0295
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2043
MT
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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