Organization · Type 2 NPI

Mark J Maly Estate

Dental Clinic/Center · Orangeville, IL

NPI number 1649883364 Active

Practice location

103 S Main St # PO
Orangeville, IL 61060-9244

Mailing address

PO Box 456
Orangeville, IL 61060-0456

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1649883364

Mark J Maly Estate's National Provider Identifier is 1649883364, issued on Aug 24, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Orangeville, IL. The record was last updated on Aug 24, 2020.