Malden Family Dentistry, LLC

NPI #1720772056 in Malden, Missouri

Provider Information

NPI Number: 1720772056
Entity Type: Organization
Organization Name: Malden Family Dentistry, LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jun 8, 2023
Last Updated: Jun 8, 2023

Practice Location

Address: 701 N DOUGLASS ST
City: Malden
State: Missouri
ZIP Code: 63863-1509
Phone: (573) 935-7400

Authorized Official

Name: DR. MARTIN FOWLER, DMD
Title: DENTIST
Phone: (573) 935-7400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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