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Individual

DR. JOHN J MALONEY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
4 LAKE SHORE DR, SEABROOK, NH 03874-4028
(603) 474-9506
(603) 474-7138
Mailing address
4 LAKE SHORE DR, P. O. BOX 1270, SEABROOK, NH 03874-4028
(603) 474-9506
(603) 474-7138

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1862
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1862
DELTA DENTAL
NH
01
844366
OTHER PROVIDER
NH
05
89192106
NH
01
X12454
BLUE CROSS BLUE SHIELD MA
MA
Enumeration date
06/16/2006
Last updated
07/09/2007
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