Charles Brent Mallin, D.D.S.

NPI #1750573960 in Clayton, Missouri

Provider Information

NPI Number
1750573960
Entity Type
Individual
Name
Charles Brent Mallin, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Aug 11, 2007
Last Updated
Aug 11, 2007

Practice Location

Address
8000 BONHOMME AVE STE 401
Address 2
SUITE 401
ZIP Code
63105-3515
Phone
(314) 727-2288

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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