Individual
ALEC EDWARD MADDALENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
42301 CHERRY HILL RD STE D, CANTON, MI 48188-1200
(734) 981-4040
Mailing address
42301 CHERRY HILL RD STE D, CANTON, MI 48188-1200
(734) 981-4040
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601333
MI
Other
Enumeration date
06/22/2022
Last updated
06/27/2022
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