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NPI Code Detail

MEDICARE: DR. STEVEN MALMSTROM D.D.S.

MEDICARE: DR. STEVEN MALMSTROM D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry5362KS

General Provider Information

NPI Number : 1083689699
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN MALMSTROM D.D.S.
Provider Business Mailing Address
First Line : 1520 SW TOPEKA BLVD
Second Line :
City : TOPEKA
State : KS
Zip : 66612-1851
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1520 SW TOPEKA BLVD
Second Line :
City : TOPEKA
State : KS
Zip : 66612-1851
Country : US
Telephone Number : 785-232-2821
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2006
Last Update Date : 01/14/2009

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