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1942825807
DANIEL MALLOY
DAVENPORT, IA
NPI
1942825807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IA 09758)
Enumeration Date
2020-06-16
Last Update Date
2020-06-16
Business Address
DANIEL MALLOY
4346 E 53RD ST
DAVENPORT, IA 52807-3039
Phone number: 563-355-5393
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Mailing Address
DANIEL MALLOY
4346 E 53RD ST
DAVENPORT, IA 52807-3039
Phone number: 563-355-5393
Copy
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