Lelak, Mallory Weaver
Lelak, Mallory Weaver is an sole proprietor health care provider with primary practice located at 2325 Timber Shadows Dr Bldg A , Kingwood TX 77339-2028. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Lelak, Mallory Weaver can be contacted via phone (281) 359-9100.Contact Information
Primary practice address
2325 Timber Shadows Dr Bldg A
Kingwood TX 77339-2028
Phone: (281) 359-9100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN122453 | Georgia |
| Dental Providers / Dentist | 122300000X | 37692 | Texas |
Profile Details
| NPI number | 1295409076 |
|---|---|
| LBN Legal business name | Lelak, Mallory Weaver |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2021 |
| Last updated | Apr 25th, 2022 - about 2 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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