Organization
MALCOLM C. GEORGE, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALCOLM C. GEORGE DDS (DENTIST)
(260) 726-4710
Entity
Organization
Contact information
Practice address
112 N SHIP ST, PORTLAND, IN 47371-1844
(260) 726-4710
(260) 726-7051
Mailing address
112 N SHIP ST, PORTLAND, IN 47371-1844
(260) 726-4710
(260) 726-7051
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010495
IN
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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