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Individual

DR. MALCOLM EDWARD THORNTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
FORT POLK DENTAC, 1585 3RD STREET, STE 6119A, FORT POLK, LA 71459
(337) 531-4400
(337) 531-4715
Mailing address
43 MARTIN'S WAY, SUGAR LAND, TX 77479-2485
(281) 491-8204
(281) 491-8204

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18493
TX

Other

Enumeration date
10/06/2006
Last updated
07/08/2007
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