Individual
DR. MALCOLM DOUGLAS BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
130 LEE DR, CLARKSDALE, MS 38614-1909
(662) 627-4791
(662) 627-4791
Mailing address
130 LEE DR, CLARKSDALE, MS 38614-1909
(662) 627-4791
(662) 627-4791
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
165775
MS
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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