Individual
EMILY MALLINAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
604 E CHURCH ST, MARTINSVILLE, VA 24112-3008
(276) 632-2189
Mailing address
PO BOX 3966, MARTINSVILLE, VA 24115-3966
(276) 632-2189
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412169
VA
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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