Individual
DR. MASON LEBLANC MALLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3149 MAIN ST STE 6, MARLETTE, MI 48453-1255
(989) 635-7541
(989) 635-2414
Mailing address
2349 HASLETT RD, EAST LANSING, MI 48823-7758
(517) 420-0300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901600185
MI
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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