Individual
MRS. GLORIA J MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
15182 N 75TH AVE, PEORIA, AZ 85381-4722
(623) 878-2400
Mailing address
4814 W YOOSOONI DR, PHOENIX, AZ 85087-3073
(623) 249-7357
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6649
AZ
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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