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Individual

DR. JEFFREY MALMQUIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1 MAIN ST, PEABODY, MA 01960-5509
(978) 532-2700
(978) 532-8102
Mailing address
1 MAIN ST, PEABODY, MA 01960-5509
(978) 532-2700
(978) 532-8102

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21161
MA
1223G0001X
General Practice Dentistry
64302
CA

Other

Enumeration date
10/31/2006
Last updated
04/20/2016
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