Individual
DEAN LAWRENCE MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2580 N LITCHFIELD RD, GOODYEAR, AZ 85395-2049
(623) 932-2020
(623) 932-2668
Mailing address
2580 N LITCHFIELD RD, GOODYEAR, AZ 85395-2049
(623) 932-2020
(623) 932-2668
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-002649
AZ
Other
Enumeration date
09/06/2022
Last updated
04/12/2024
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