DR. Malcom Earl Dillon, DDS

NPI #1245350198 in Clearlake, California

Provider Information

NPI Number: 1245350198
Entity Type: Individual
Name: DR. Malcom Earl Dillon, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Mar 31, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 14872 LAKESHORE DR STE A
City: Clearlake
State: California
ZIP Code: 95422-8163
Phone: (707) 994-6929

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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