MS. Susan Patrice Malecek, R.D.H.

NPI #1538290325 in Big Lake, Minnesota

Provider Information

NPI Number: 1538290325
Entity Type: Individual
Name: MS. Susan Patrice Malecek, R.D.H.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: R.D.H.
Enumeration Date: Mar 7, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 16991 198TH AVENUE NW
City: Big Lake
State: Minnesota
ZIP Code: 55309-0249
Phone: (763) 263-6350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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