Henry Mallek I, D.M.D.

NPI #1437539921 in Dyess Afb, Texas

Provider Information

NPI Number: 1437539921
Entity Type: Individual
Name: Henry Mallek I, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Jun 1, 2015
Last Updated: Jun 1, 2015

Practice Location

Address: 697 LOUISIANA DRIVE
City: Dyess Afb
State: Texas
ZIP Code: 79607-1367
Phone: (325) 696-2304

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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