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1225189665
DALE LARRIE MALLORY
VIRGINIA BEACH, VA
NPI
1225189665
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401005769)
Enumeration Date
2007-01-14
Last Update Date
2007-07-08
Business Address
Dr. DALE LARRIE MALLORY D.D.S.
4867 BAXTER RD SUITE 101
VIRGINIA BEACH, VA 23462-4469
Phone number: 757-499-8139
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Mailing Address
Dr. DALE LARRIE MALLORY D.D.S.
4867 BAXTER RD SUITE 101
VIRGINIA BEACH, VA 23462-4469
Phone number: 757-499-8139
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