Individual
DR. JOHN MONROE MALLOW JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
818 13TH AVE, MARLINTON, WV 24954-1442
(304) 799-4783
(304) 799-4782
Mailing address
818-13TH AVE., MARLINTON, WV 24954
(304) 799-4783
(304) 799-4782
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
WV 2663
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0136840000
—
WV
Enumeration date
02/21/2007
Last updated
07/08/2007
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