Holley Gonder Malchow

NPI 1346589405 - Dentist - 122300000X

NPI Details
NPI 1346589405
Gender Female
Enumeration Date 02/11/2013
Last Updated 02/11/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
7916 PEBBLE BEACH DR
SUITE 101
CITRUS HEIGHTS CA, 95610-7790, US
Phone (916) 962-0577
Fax (916) 962-0584
Business Location
7916 PEBBLE BEACH DR
SUITE 101
CITRUS HEIGHTS CA, 95610-7790, US
Phone (916) 962-0577
Fax (916) 962-0584
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 46807
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According to our database, Holley Gonder Malchow NPI is 1346589405, taxonomy code is 122300000X and license number is 46807, license state is located at California. Holley Gonder Malchow physically located at 7916 Pebble Beach Dr, Citrus Heights CA, 95610-7790. NPI Number Holley Gonder Malchow has the Individual type.

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1346589405 NPI number is provided on an as is basis without warranty of any kind. 1346589405 is maintained by the National Plan & Provider Enumeration System. The contents of Holley Gonder Malchow are for informational purposes only.