Individual
DR. TERRY LEE MALCOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1910 CHASE ST, FALLS CITY, NE 68355-2021
(402) 245-4636
(402) 245-3325
Mailing address
PO BOX 188, 1910 CHASE STREET, FALLS CITY, NE 68355-0188
(402) 245-4636
(402) 245-3325
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5779
NE
Other
Enumeration date
08/18/2006
Last updated
10/22/2024
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