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1083688865
SUSAN REGINA MALLERY
COLUMBUS, OH
NPI
1083688865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223P0106X Dentist Oral and Maxillofacial Pathology
(Licence: OH 30016966)
Enumeration Date
2006-02-16
Last Update Date
2012-03-08
Business Address
DR. SUSAN REGINA MALLERY DDS
305 W 12TH AVE COLLEGE OF DENTISTRY OHIO STATE UNIVERSITY
COLUMBUS, OH 43210-1267
Phone number: 614-292-5892
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Mailing Address
DR. SUSAN REGINA MALLERY DDS
305 W 12TH AVE COLLEGE OF DENTISTRY OHIO STATE UNIVERSITY
COLUMBUS, OH 43210-1267
Phone number: 614-292-5892
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