Organization
MALLINGER DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DELYLE MALLINGER DDS (OWNER DENTIST)
(952) 881-1154
Entity
Organization
Contact information
Practice address
8900 PENN AVE SO, SUITE 100, BLOOMINGTON, MN 55431
(952) 881-1154
(952) 884-2055
Mailing address
8900 PENN AVE SO, SUITE 100, BLOOMINGTON, MN 55431
(952) 881-1154
(952) 884-2055
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9530
MN
Other
Enumeration date
09/28/2006
Last updated
08/22/2020
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