Individual
WINSTON MOORE MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
268 SEMINOLE RD, NORTON SHORES, MI 49444-3733
(231) 563-6878
Mailing address
268 SEMINOLE RD, NORTON SHORES, MI 49444-3733
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901602175
MI
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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