| Dr Charles Malkemus Inc | |
|
166 Columbia Rd Dorchester MA 02121-3411 | |
| (617) 445-9880 | |
| (617) 445-5746 |
| Full Name | Dr Charles Malkemus Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 166 Columbia Rd, Dorchester, Massachusetts |
| Authorized Official Name and Position | Charles M Malkemus (PRESIDENT) |
| Authorized Official Contact | 6174459880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Malkemus Inc 166 Columbia Rd Dorchester MA 02121-3411 Ph: (617) 445-9880 | Dr Charles Malkemus Inc 166 Columbia Rd Dorchester MA 02121-3411 Ph: (617) 445-9880 |
| NPI Number | 1508977547 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508977547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | MA11207 (Massachusetts) | Primary |
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