Kist, Mallory
Kist, Mallory is an individual health care provider with primary practice located at 366 Washington Rd , Washington PA 15301-2702. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Kist, Mallory can be contacted via phone (814) 860-1251.Contact Information
Primary practice address
366 Washington Rd
Washington PA 15301-2702
Phone: (814) 860-1251
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DS042249 | Pennsylvania |
Profile Details
| NPI number | 1346800356 |
|---|---|
| LBN Legal business name | Kist, Mallory |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2019 |
| Last updated | Jun 20th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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