Individual
DR. MALCOLM CHRISTIAN GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
112 N SHIP ST, PORTLAND, IN 47371-1844
(260) 726-4710
(260) 726-7051
Mailing address
112 N SHIP ST, PORTLAND, IN 47371-1844
(260) 726-4710
(260) 726-7051
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010495
IN
Other
Enumeration date
04/11/2007
Last updated
04/16/2013
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