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1083812556
MARIE MALLORY
SANTA ROSA, CA
NPI
1083812556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 43815)
Enumeration Date
2007-07-06
Last Update Date
2007-07-08
Business Address
Dr. MARIE MALLORY DDS
76 DOCTORS PARK DRIVE
SANTA ROSA, CA 95405-6615
Phone number: 707-542-7800
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Mailing Address
Dr. MARIE MALLORY DDS
76 DOCTORS PARK DR
SANTA ROSA, CA 95405-6615
Phone number: 707-542-7800
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