DR. Kevin Joseph Malley, D.D.S.

NPI #1699882837 in Danville, Illinois

Provider Information

NPI Number: 1699882837
Entity Type: Individual
Name: DR. Kevin Joseph Malley, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Aug 24, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1900 E MAIN ST
Address 2: VA ILLIANA HCS (160)
City: Danville
State: Illinois
ZIP Code: 61832-5100
Phone: (217) 554-4516

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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