Nicholas Talbert Mallory, DMD

NPI #1851950588 in Eagar, Arizona

Provider Information

NPI Number
1851950588
Entity Type
Individual
Name
Nicholas Talbert Mallory, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Jun 6, 2019
Last Updated
Jun 6, 2019

Practice Location

Address
133 W CENTRAL AVE
City
Eagar
State
Arizona
ZIP Code
85925
Phone
(928) 333-4121

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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