Mallory, Marc P

Mallory, Marc P is an sole proprietor health care provider with primary practice located at 107 E. Washtenaw , Lansing MI 48933-1822. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mallory, Marc P can be contacted via phone (517) 487-5666.

Contact Information

Primary practice address
107 E. Washtenaw Lansing MI 48933-1822
Phone: (517) 487-5666
Fax: (517) 267-0938
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 14433 Michigan

Profile Details

NPI number 1588643134
LBN Legal business name Mallory, Marc P
Credentials D.D.S., PLLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2006
Last updated Oct 26th, 2016 - about 9 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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