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Mark J Maly Estate
Dental Clinic/Center in Orangeville, Illinois
NPI 1649883364

Mark J Maly Estate is a Dental Clinic/Center based in Orangeville, IL and is specialized in Dental. Mark J Maly Estate practices in Orangeville, IL. The NPI Number for Mark J Maly Estate is 1649883364 and holds a License No. (Illinois).

The current practice location address for Mark J Maly Estate is 103 S Main St # Po, Orangeville, IL and can be reached out via phone at 815-789-4611.

Location: 103 S Main St # Po, Orangeville, IL, 61060-0456
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649883364
Provider Name
Mark J Maly Estate
Credential
Provider Entity Type
Organization
Address
103 S Main St # Po, Orangeville, IL, 61060-0456
Phone Number
815-789-4611
Fax Number
Provider Enumeration Date
08/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
103 S Main St # Po
City
Orangeville
State
Illinois
Zip
61060-9244
Phone Number
815-789-4611
Fax Number
person
Provider Business Mailing Address Details
Address
103 S Main St # Po
City
Orangeville
State
Illinois
Zip
61060-9244
Phone Number
815-789-4611
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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