Individual
DR. COURTNEY BROOKE MALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
30 STONERIDGE DR, WAYNESBORO, VA 22980-6522
(540) 949-8053
Mailing address
70 CARRIER LN, WAYNESBORO, VA 22980-6497
(540) 241-9718
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401407548
VA
Other
Enumeration date
04/01/2021
Last updated
07/28/2023
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