Anderson, Mallory
Anderson, Mallory is an individual health care provider with primary practice located at 100 Cherry St Se , Grand Rapids MI 49503-4526. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Anderson, Mallory can be contacted via phone (616) 965-8200.Contact Information
Primary practice address
100 Cherry St Se
Grand Rapids MI 49503-4526
Phone: (616) 965-8200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X |
Profile Details
| NPI number | 1912551219 |
|---|---|
| LBN Legal business name | Anderson, Mallory |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2019 |
| Last updated | Jul 25th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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