Individual
DR. MARC P MALLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., PLLC
Contact information
Practice address
107 E. WASHTENAW, LANSING, MI 48933-1822
(517) 487-5666
(517) 267-0938
Mailing address
107 E. WASHTENAW, LANSING, MI 48933-1822
(517) 487-5666
(517) 267-0938
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14433
MI
Other
Enumeration date
01/12/2006
Last updated
10/26/2016
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