Individual
DR. MARK E MALLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1753 ESTHER CT, PLAINFIELD, IN 46168-9336
(317) 839-2862
Mailing address
1753 ESTHER CT, PLAINFIELD, IN 46168-9336
(317) 839-2862
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
12007363
IN
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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