Individual
DR. CHRISTOPHER M MALLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
105 GILES AVE, BLISSFIELD, MI 49228-1238
(517) 486-3379
(517) 486-4635
Mailing address
105 GILES AVE, BLISSFIELD, MI 49228-1238
(517) 486-3379
(517) 486-4635
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901014261
MI
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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