DR. Alicia Therese Malak, DDS

NPI #1831628361 in Oconomowoc, Wisconsin

Provider Information

NPI Number: 1831628361
Entity Type: Individual
Name: DR. Alicia Therese Malak, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 8, 2017
Last Updated: Jun 8, 2017

Practice Location

Address: 1240 PRAIRIE CREEK BLVD UNIT 103
City: Oconomowoc
State: Wisconsin
ZIP Code: 53066-8613
Phone: (262) 895-6329

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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