Individual
DR. SIERA MALLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9030 PETERSBURG PIKE, UPPER TRACT, WV 26866-8014
(304) 358-7200
Mailing address
4886 UPPER SOUTH BRANCH RD, FRANKLIN, WV 26807-7007
(304) 670-2604
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4400
WV
Other
Enumeration date
06/05/2019
Last updated
10/24/2023
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