Kitrina Roxanne Mallon, DENTAL HYGIENIST

NPI #1699818096 in Lawrence, Kansas

Provider Information

NPI Number: 1699818096
Entity Type: Individual
Name: Kitrina Roxanne Mallon, DENTAL HYGIENIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: DENTAL HYGIENIST
Enumeration Date: Feb 15, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2415 MASSACHUSETTS ST
City: Lawrence
State: Kansas
ZIP Code: 66046-4827
Phone: (785) 832-4803

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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Organizations

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