Individual
PAMELA REGAN MALLEGOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
56 NEW DRIFTWAY, SCITUATE, MA 02066-4533
(781) 545-3703
Mailing address
86 CAPTAINS HILL RD, DUXBURY, MA 02332-5055
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
19331
MA
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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