Organization
JACK L MALVIN DENTAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK LEE MALVIN DMD (PRESIDENT)
(412) 661-7316
Entity
Organization
Contact information
Practice address
242 S HIGHLAND AVE, SUITE 201, PITTSBURGH, PA 15206-3937
(412) 661-7316
(412) 661-5903
Mailing address
242 S HIGHLAND AVE, SUITE 201, PITTSBURGH, PA 15206-3937
(412) 661-7316
(412) 661-5903
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
020641
PA
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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