Individual
DR. DAVID J MALOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
100 WEST BEAVER CREEK BLVD, SUITE 232, AVON, CO 81620
(979) 949-3331
Mailing address
PO BOX 2916, AVON, CO 81620-2900
(979) 949-3331
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6382
NE
1223G0001X
General Practice Dentistry
Primary
10014
CO
1223G0001X
General Practice Dentistry
8514
NC
Other
Enumeration date
05/15/2006
Last updated
11/20/2009
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