Daniela C Mallack

NPI #1770173700 in Montclair, New Jersey

Provider Information

NPI Number
1770173700
Entity Type
Individual
Name
Daniela C Mallack
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 23, 2021
Last Updated
Feb 5, 2025

Practice Location

Address
1 BAY AVE
ZIP Code
07042-4837
Phone
(973) 429-6888

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Dentist - General PracticeGeneral Practice

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