| NPI | 1326642943 |
|---|---|
| Doing Business As | DR. BOB MALEY FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN JOHN THOMAS Owner 651-261-3713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2020-11-24 |