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Charles Brent Mallin, DDS
General Practice Dentistry in Clayton, Missouri
NPI 1750573960

Charles Brent Mallin is a General Practice Dentistry based in Clayton, MO and is specialized in General Practice. Charles Brent Mallin practices in Clayton, MO and has the professional credentials of DDS. The NPI Number for Charles Brent Mallin is 1750573960 and holds a License No. 11962 (Missouri).

The current practice location address for Charles Brent Mallin is 8000 Bonhomme Ave Ste 401, Clayton, MO and can be reached out via phone at 314-727-2288 and via fax at 314-727-2285.

Location: 8000 Bonhomme Ave Ste 401, Clayton, MO, 63105-3515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750573960
Provider Name
Charles Brent Mallin
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
8000 Bonhomme Ave Ste 401, Clayton, MO, 63105-3515
Phone Number
314-727-2288
Fax Number
314-727-2285
Provider Enumeration Date
08/11/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8000 Bonhomme Ave Ste 401
City
Clayton
State
Missouri
Zip
63105-3515
Phone Number
314-727-2288
Fax Number
314-727-2285
person
Provider Business Mailing Address Details
Address
8000 Bonhomme Ave Ste 401
City
Clayton
State
Missouri
Zip
63105-3515
Phone Number
314-727-2288
Fax Number
314-727-2285
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
11962 (Missouri)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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