Susan Regina Mallery DDS

NPI 1083688865 - Dentist - 1223P0106X

NPI Details
NPI 1083688865
Gender Female
Enumeration Date 02/16/2006
Last Updated 03/08/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
305 W 12TH AVE
COLLEGE OF DENTISTRY OHIO STATE UNIVERSITY
COLUMBUS OH, 43210-1267, US
Phone (614) 292-5892
Fax (614) 292-9384
Business Location
305 W 12TH AVE
COLLEGE OF DENTISTRY OHIO STATE UNIVERSITY
COLUMBUS OH, 43210-1267, US
Phone (614) 292-5892
Fax (614) 292-9384
Toxanomy
Taxonomy Code 1223P0106X
License State Ohio
License Number 30016966
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According to our database, Dr. Susan Regina Mallery DDS NPI is 1083688865, taxonomy code is 1223P0106X and license number is 30016966, license state is located at Ohio. Susan Regina Mallery DDS physically located at 305 W 12th Ave, Columbus OH, 43210-1267. NPI Number Susan Regina Mallery DDS has the Individual type.

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1083688865 NPI number is provided on an as is basis without warranty of any kind. 1083688865 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Regina Mallery DDS are for informational purposes only.