Malcolm Pediatric Dentistry

NPI #1538359427 in Belvidere, Illinois

Provider Information

NPI Number
1538359427
Entity Type
Organization
Organization Name
Malcolm Pediatric Dentistry
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Jul 27, 2007
Last Updated
Jul 27, 2007

Practice Location

Address
163 CADILLAC CT
Address 2
SUITE 3
ZIP Code
61008-1737
Phone
(815) 544-0909

Authorized Official

Name
DR. ANDY JOE MALCOLM, DDS
Title
PEDIATRIC DENTIST
Phone
(815) 544-0909

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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