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1720772056
MALDEN FAMILY DENTISTRY, LLC
MALDEN, MO
NPI
1720772056
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Entity Type
Organization
Authorized Contact
MARTIN FOWLER
Dentist
573-935-7400
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2023-06-08
Last Update Date
2023-06-08
Business Address
MALDEN FAMILY DENTISTRY, LLC
701 N DOUGLASS ST
MALDEN, MO 63863-1509
Phone number: 573-935-7400
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Mailing Address
MALDEN FAMILY DENTISTRY, LLC
701 N DOUGLASS ST
MALDEN, MO 63863-1509
Phone number: 573-935-7400
Copy
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