Malden Family Dentistry, Llc | |
701 N Douglass St Malden MO 63863-1509 | |
(573) 935-7400 | |
Not Available |
Full Name | Malden Family Dentistry, Llc |
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Speciality | Clinic/center - Dental |
Location | 701 N Douglass St, Malden, Missouri |
Authorized Official Name and Position | Martin Fowler (DENTIST) |
Authorized Official Contact | 5739357400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Malden Family Dentistry, Llc 701 N Douglass St Malden MO 63863-1509 Ph: (573) 935-7400 | Malden Family Dentistry, Llc 701 N Douglass St Malden MO 63863-1509 Ph: (573) 935-7400 |
NPI Number | 1720772056 |
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Provider Enumeration Date | 06/08/2023 |
Last Update Date | 06/08/2023 |
Identifier | Type | State | Issuer |
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1720772056 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |