DR. Mason Leblanc Mallory, DDS

NPI #1285294488 in Marlette, Michigan

Provider Information

NPI Number: 1285294488
Entity Type: Individual
Name: DR. Mason Leblanc Mallory, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 19, 2019
Last Updated: Jun 19, 2019

Practice Location

Address: 3149 MAIN ST STE 6
City: Marlette
State: Michigan
ZIP Code: 48453-1255
Phone: (989) 635-7541

Specialties & Taxonomy Codes

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

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