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Individual

DR. DAVID P MALOUF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
551 BROADWAY, EVERETT, MA 02149-3737
(617) 420-3939
Mailing address
551 BROADWAY, EVERETT, MA 02149-3737

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DL10958
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN1855741
MA

Other

Enumeration date
07/12/2010
Last updated
08/19/2014
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