Individual
DR. KYLE ANDREW MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.; M.S.
Contact information
Practice address
8931 SE FOSTER RD, PORTLAND, OR 97266-4661
(855) 433-6825
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(855) 433-6825
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
100865
CA
Other
Enumeration date
07/03/2013
Last updated
10/24/2018
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