CHARLES M MALLOY

PORTLAND, OR
NPI1831274406
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0700X Dentist Prosthodontics
(Licence: OR  D7264)
Enumeration Date2006-10-25
Last Update Date2014-07-16
Business Address
CHARLES M MALLOY DMD
2730 SW MOODY AVENUE
PORTLAND, OR 97201-5042
Phone number: 503-494-4316
Mailing Address
CHARLES M MALLOY DMD
13685 SW AERIE DR
PORTLAND, OR 97223-2805
Phone number: 503-579-8203
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