Individual
DR. MALLORY GAYLE PRUDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
135 LANDREAUX DR, WEST MONROE, LA 71291-1509
(318) 355-8166
Mailing address
135 LANDREAUX DR, WEST MONROE, LA 71291-1509
(318) 355-8166
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6773
LA
Other
Enumeration date
04/19/2017
Last updated
06/13/2022
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