Mallais Dental Pllc
NPI #1134505746 in Essexville, Michigan
Provider Information
- NPI Number
- 1134505746
- Entity Type
- Organization
- Organization Name
- Mallais Dental Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 5, 2015
- Last Updated
- Aug 5, 2015
Practice Location
- Address
- 1049 N PINE RD
- City
- Essexville
- State
- Michigan
- ZIP Code
- 48732-1915
- Phone
- (989) 894-4611
Authorized Official
- Name
- DR. TERRA SHANNON MALLAIS, DDS
- Title
- OWNER/DENTIST
- Phone
- (989) 894-4611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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