Organization
MCNEELY AND MALLETTE DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN MALLETTE DDS (OWNER DENTIST)
(704) 496-9001
Entity
Organization
Contact information
Practice address
201 DALE EARNHARDT BLVD, KANNAPOLIS, NC 28081-0308
(704) 496-9001
(855) 254-9601
Mailing address
9550 ROCKY RIVER RD STE 202, CHARLOTTE, NC 28215-9526
(704) 496-9001
(855) 254-9601
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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