Individual
NORMAN M MALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
05055 BLUE STAR HWY, SOUTH HAVEN, MI 49090
(269) 637-2603
(269) 639-7613
Mailing address
05055 BLUE STAR HWY, SOUTH HAVEN, MI 49090
(269) 637-2603
(269) 639-7613
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16035
MI
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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