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Individual

DR. ROBERT THOMAS MALLORY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
100 VILLAGE PL, HELENA, AL 35080-4029
(205) 664-8424
Mailing address
100 VILLAGE PL, HELENA, AL 35080-4029
(205) 664-8424

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4239
AL

Other

Enumeration date
10/11/2006
Last updated
07/08/2007
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