SUSAN REGINA MALLERY

COLUMBUS, OH
NPI1083688865
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223P0106X Dentist, Oral and Maxillofacial Pathology
(Licence: OH  30016966)
Enumeration Date2006-02-16
Last Update Date2012-03-08
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
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