DAVID MALLETT

TELLURIDE, CO
NPI1174651954
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CO  104181)
Enumeration Date2007-03-01
Last Update Date2007-07-08
Business Address
-- DAVID MALLETT
421 E. PANDORA AVE
TELLURIDE, CO 81435-2226
Phone number: 970-728-8050
Mailing Address
-- DAVID MALLETT
PO BOX 2226
TELLURIDE, CO 81435-2226
Phone number:
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