Individual
DR. MALLORY THERESE STILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
319 W MAIN ST, FLUSHING, MI 48433-2033
(810) 659-7800
Mailing address
122 N MAIN ST, CLARKSTON, MI 48346-1518
(734) 716-9233
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021950
MI
Other
Enumeration date
07/20/2016
Last updated
05/26/2021
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