Holley Gonder Malchow

NPI #1346589405 in Citrus Heights, California

Provider Information

NPI Number: 1346589405
Entity Type: Individual
Name: Holley Gonder Malchow
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Feb 11, 2013
Last Updated: Feb 11, 2013

Practice Location

Address: 7916 PEBBLE BEACH DR
Address 2: SUITE 101
City: Citrus Heights
State: California
ZIP Code: 95610-7790
Phone: (916) 962-0577

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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