BEVIN K MALLEY DDS PA NPI 1023326287

NPI Information

BEVIN K MALLEY DDS PA is a pediatric dentistry dentist in Charlotte, NC. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. BEVIN K MALLEY DDS PA NPI is 1023326287. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Carolina Kids Dentistry.

The provider's business location address is:

6918 GARDEN TERRACE CT
CHARLOTTE, NC
ZIP 28210-706
Phone: (704) 790-0590
Fax: (704) 790-0593

The provider's authorized official is Bevin Kiley Malley .
The authorized official title is Pediatric Dentist and has the following contact phone number (704) 790-0590.

The enumeration date for this NPI number is 9/21/2010 and was last updated on 9/21/2010.

Taxonomy Codes

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Other Identifiers

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