Nicholas Talbert Mallory, DMD | |
133 W Central Ave, Eagar, AZ 85925 | |
(928) 333-4121 | |
Not Available |
Full Name | Nicholas Talbert Mallory |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 133 W Central Ave, Eagar, Arizona |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851950588 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D010324 (Arizona) | Primary |
Mailing Address | Practice Location Address |
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Nicholas Talbert Mallory, DMD 150 N River Rd, Eagar, AZ 85925-9899 Ph: () - | Nicholas Talbert Mallory, DMD 133 W Central Ave, Eagar, AZ 85925 Ph: (928) 333-4121 |
Stephen M Palmer, DDS Dentist Medicare: Medicare Enrolled Practice Location: 74 N Main St, Suite 9, Eagar, AZ 85925 Phone: 928-333-2345 Fax: 928-333-2483 | |
Dr. Marshall Hunt Hamblin, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 133 West Central Ave., Eagar, AZ 85925 Phone: 928-333-4121 |