Individual
DR. JUSTIN LEE MALLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
121 HENDERSONVILLE RD, ASHEVILLE, NC 28803-2868
(828) 252-4290
Mailing address
4221 VERDE VISTA CIRCLE, ASHEVILLE, NC 28805-4522
(703) 786-0459
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
150979
NC
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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