Search › California › 122300000X
Marie Mallory, DDS
NPI 1083812556 · on the registry since 2007 · sole proprietor
Practice
- Address
- 76 Doctors Park Drive
Santa Rosa, CA 95405 - Phone
- (707) 542-7800
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California