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1083724090
CHARLES M MALKEMUS
DORCHESTER, MA
NPI
1083724090
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MA MA11207)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
Dr. CHARLES M MALKEMUS DDS, JD
166 COLUMBIA RD
DORCHESTER, MA 02121-3411
Phone number: 617-445-9880
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Mailing Address
Dr. CHARLES M MALKEMUS DDS, JD
166 COLUMBIA RD
DORCHESTER, MA 02121-3411
Phone number: 617-445-9880
Copy
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