Individual
MADISON DIETRICH MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3711 ELMSLEY ST STE 106, GREENSBORO, NC 27406-7039
(336) 754-8119
Mailing address
1132 INN KEEPERS WAY, CORNELIUS, NC 28031-8166
(284) 425-3598
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13250
NC
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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