Individual
ELIZABETH MALLOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3245 HOSPITAL DR, JUNEAU, AK 99801-7809
(907) 463-6675
(907) 463-4032
Mailing address
3245 HOSPITAL DR, JUNEAU, AK 99801-7809
(907) 463-6675
(907) 463-4032
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1034
AK
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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