Individual
DR. CHARLES M MALKEMUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, JD
Contact information
Practice address
166 COLUMBIA RD, DORCHESTER, MA 02121-3411
(617) 445-9880
(617) 445-5746
Mailing address
166 COLUMBIA RD, DORCHESTER, MA 02121-3411
(617) 445-9880
(617) 445-5746
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MA11207
MA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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