Individual
LAURI NEIL MALOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A., R.D.H.
Contact information
Practice address
2483 S MARKET ST, SUITE 101, GILBERT, AZ 85295-0722
(480) 857-1044
Mailing address
1753 E COTTON CT, GILBERT, AZ 85234-6134
(480) 635-0345
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2596
AZ
124Q00000X
Dental Hygienist
DH-8961
OH
Other
Enumeration date
10/11/2006
Last updated
03/11/2008
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