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Individual

DR. BRADLEY JAMES MALLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
11 LAKELAND CIR, JACKSON, MS 39216-5006
(601) 981-8166
(601) 362-2164
Mailing address
11 LAKELAND CIR, JACKSON, MS 39216-5006
(601) 981-8166
(601) 362-2164

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3801-15
MS

Other

Enumeration date
06/17/2015
Last updated
10/25/2023
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