Individual
SARAH MALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
125 W HARPER ST, RICHLAND, MS 39218-4406
(601) 932-5100
Mailing address
180 RIDGEVIEW DR, FLORENCE, MS 39073-9384
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4131-20
MS
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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