Bevin K Malle DDS PA II
NPI #1154981371 in Waxhaw, North Carolina
Provider Information
- NPI Number
- 1154981371
- Entity Type
- Organization
- Organization Name
- Bevin K Malle DDS PA II
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 19, 2019
- Last Updated
- Jun 19, 2019
Practice Location
- Address
- 9817 SUZANNE CT.
- Address 2
- SUITE B
- City
- Waxhaw
- State
- North Carolina
- ZIP Code
- 28173-8848
- Phone
- (980) 339-8730
Authorized Official
- Name
- BEVIN KILEY MALLEY, DDS
- Title
- OWNER/DENTIST
- Phone
- (704) 883-4624
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
| Dentist - General Practice — General Practice |
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