Individual
DAVID MALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
456 CHARLES H DIMMOCK PKWY STE 5, COLONIAL HEIGHTS, VA 23834-2936
(804) 520-4088
Mailing address
456 CHARLES H DIMMOCK PKWY STE 5, COLONIAL HEIGHTS, VA 23834-2936
(804) 520-4088
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414472
VA
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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