Individual
DR. DORMAN MALONE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6919 PARADISE VALLEY RD STE 1A, SAN DIEGO, CA 92139-1225
(619) 479-5700
(619) 479-2373
Mailing address
6919 PARADISE VALLEY RD, SUITE 1A, SAN DIEGO, CA 92139
(619) 479-5700
(619) 479-2373
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32354
CA
Other
Enumeration date
02/06/2009
Last updated
02/06/2009
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