| Susan JS Malone, DDS, PC | |
|
231 State St Petoskey MI 49770-2785 | |
| (231) 347-6932 | |
| (231) 347-0292 |
| Full Name | Susan JS Malone, DDS, PC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 231 State St, Petoskey, Michigan |
| Authorized Official Name and Position | Susan Malone (OWNER) |
| Authorized Official Contact | 2313476932 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan JS Malone, DDS, PC 231 State St Petoskey MI 49770-2785 Ph: (231) 347-6932 | Susan JS Malone, DDS, PC 231 State St Petoskey MI 49770-2785 Ph: (231) 347-6932 |
| NPI Number | 1033716592 |
|---|---|
| Provider Enumeration Date | 10/07/2020 |
| Last Update Date | 10/07/2020 |
| Certification Date | 10/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033716592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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