CHARLES BRENT MALLIN

CLAYTON, MO
NPI1750573960
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MO  11962)
Enumeration Date2007-08-11
Last Update Date2007-08-11
Business Address
-- CHARLES BRENT MALLIN D.D.S.
8000 BONHOMME AVE STE 401 SUITE 401
CLAYTON, MO 63105-3515
Phone number: 314-727-2288
Mailing Address
-- CHARLES BRENT MALLIN D.D.S.
8000 BONHOMME AVE STE 401 SUITE 401
CLAYTON, MO 63105-3515
Phone number: 314-727-2288
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