Kermit J Mallette DDS

NPI 1750549549 - Dentist - 1223G0001X

NPI Details
NPI 1750549549
Gender Male
Enumeration Date 05/28/2008
Last Updated 02/22/2010
Entity Type Individual
Active Over 8 years ago
Practice Location
201 CROSSTOWN DR APT 1020
PEACHTREE CITY GA, 30269-3457, US
Phone (228) 547-5977
Fax
Business Location
201 CROSSTOWN DR APT 1020
PEACHTREE CITY GA, 30269-3457, US
Phone (228) 547-5977
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Georgia
License Number DN012289
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According to our database, Kermit J Mallette DDS NPI is 1750549549, taxonomy code is 1223G0001X and license number is DN012289, license state is located at Georgia. Kermit J Mallette DDS physically located at 201 Crosstown Dr Apt 1020, Peachtree City GA, 30269-3457. NPI Number Kermit J Mallette DDS has the Individual type.

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1750549549 NPI number is provided on an as is basis without warranty of any kind. 1750549549 is maintained by the National Plan & Provider Enumeration System. The contents of Kermit J Mallette DDS are for informational purposes only.