Individual
DR. DOUGLAS RANDOLPH MALONE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9413 HULL STREET ROAD, SUITE B-1, RICHMOND, VA 23236
(804) 745-4550
(804) 745-4848
Mailing address
12200 WHITLEY MANOR DR, CHESTERFIELD, VA 23838-5198
(804) 796-2079
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5305
VA
Other
Enumeration date
05/11/2006
Last updated
07/08/2007
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