| Malden Family Dentistry, Llc | |
|
701 N Douglass St Malden MO 63863-1509 | |
| (573) 935-7400 | |
| Not Available |
| Full Name | Malden Family Dentistry, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 701 N Douglass St, Malden, Missouri |
| Authorized Official Name and Position | Martin Fowler (DENTIST) |
| Authorized Official Contact | 5739357400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Malden Family Dentistry, Llc 701 N Douglass St Malden MO 63863-1509 Ph: (573) 935-7400 | Malden Family Dentistry, Llc 701 N Douglass St Malden MO 63863-1509 Ph: (573) 935-7400 |
| NPI Number | 1720772056 |
|---|---|
| Provider Enumeration Date | 06/08/2023 |
| Last Update Date | 06/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720772056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |