Organization
MALLEY DENTAL, PLLC
Active
Other names
Lakeland Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY J MALLEY DMD (OWNER)
(601) 981-8166
Entity
Organization
Contact information
Practice address
11 LAKELAND CIR, JACKSON, MS 39216-5006
(601) 981-8166
(601) 362-2164
Mailing address
11 LAKELAND CIR, JACKSON, MS 39216-5006
(601) 981-8166
(601) 362-2164
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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