DR. Mallory Gayle Pruden, D.D.S.
NPI #1669906301 in West Monroe, Louisiana
Provider Information
- NPI Number
- 1669906301
- Entity Type
- Individual
- Name
- DR. Mallory Gayle Pruden, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Apr 19, 2017
- Last Updated
- Jun 13, 2022
Practice Location
- Address
- 135 LANDREAUX DR
- City
- West Monroe
- State
- Louisiana
- ZIP Code
- 71291-1509
- Phone
- (318) 355-8166
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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