Organization
BARBARA MALLONEE, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARBARA LYNN MALLONEE DDS (DENTIST/OWNER)
(949) 702-1455
Entity
Organization
Contact information
Practice address
2121 E COAST HWY, SUITE 140, CORONA DEL MAR, CA 92625-1931
(949) 640-0222
(949) 640-0333
Mailing address
2121 E COAST HWY, SUITE 140, CORONA DEL MAR, CA 92625-1931
(949) 640-0222
(949) 640-0333
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
29167
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609964451
NPI
—
Enumeration date
07/02/2014
Last updated
07/02/2014
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