Individual
DR. MALLARY CAMPBELL FORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2752 PLEASANT RD, SUITE 106, FORT MILL, SC 29708-7227
(803) 548-4353
Mailing address
2752 PLEASANT RD, SUITE 106, FORT MILL, SC 29708-7227
(803) 548-4353
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7054
SC
Other
Enumeration date
07/16/2011
Last updated
07/16/2011
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