Organization
DR CHARLES MALKEMUS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES M MALKEMUS DDS, JD (PRESIDENT)
(617) 445-9880
Entity
Organization
Contact information
Practice address
166 COLUMBIA RD, DORCHESTER, MA 02121-3411
(617) 445-9880
(617) 445-5746
Mailing address
166 COLUMBIA RD, DORCHESTER, MA 02121-3411
(617) 445-9880
(617) 445-5746
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MA11207
MA
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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