Organization
ROBERT T MALLORY DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT THOMAS MALLORY JR. DMD (PRESIDENT)
(205) 664-8424
Entity
Organization
Contact information
Practice address
100 VILLAGE PL, HELENA, AL 35080-4029
(205) 664-8424
Mailing address
100 VILLAGE PL, HELENA, AL 35080-4029
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4239
AL
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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