Organization
DENNY L MALCOM DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNY L MALCOM DDS (CEO)
(770) 464-2636
Entity
Organization
Contact information
Practice address
133 CHEROKEE RD, SOCIAL CIRCLE, GA 30025-0443
(770) 464-2636
(770) 464-2636
Mailing address
PO BOX 443, SOCIAL CIRCLE, GA 30025-0443
(770) 464-2636
(770) 464-2636
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN008060
GA
Other
Enumeration date
09/01/2006
Last updated
08/22/2020
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