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Individual

DR. PETRICE D MALCOLM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3912 GEORGIA AVE NW, WASHINGTON, DC 20011-5861
(844) 796-2797
Mailing address
1380 LITTLE SORRELL DR STE 100, HARRISONBURG, VA 22801-7372
(540) 214-2513

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401419251
VA
1223G0001X
General Practice Dentistry
18127
MD
1223G0001X
General Practice Dentistry
Primary
DEN2000287
DC

Other

Enumeration date
05/30/2023
Last updated
04/06/2025
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