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Phillip Mallow, DDS
NPI 1952539439 · on the registry since 2009
Practice
- Address
- 70 Stratford Dr
Bloomingdale, IL 60108 - Phone
- (630) 893-5253
- Fax
- (630) 893-1265
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
- Licence states on file
- IL, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-06-23
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 Illinois