Provider Demographics
NPI:1619150885
Name:KAISER AND MALONY, D.D.S., P.C.
Entity Type:Organization
Organization Name:KAISER AND MALONY, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GINA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:KAISER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:540-327-0884
Mailing Address - Street 1:408 DUNLAP DR.
Mailing Address - Street 2:
Mailing Address - City:BERRYVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22611
Mailing Address - Country:US
Mailing Address - Phone:540-327-0884
Mailing Address - Fax:
Practice Address - Street 1:322 N BUCKMARSH ST
Practice Address - Street 2:
Practice Address - City:BERRYVILLE
Practice Address - State:VA
Practice Address - Zip Code:22611
Practice Address - Country:US
Practice Address - Phone:540-327-0884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-11
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty