Individual
JOSE RAFAEL MALANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
221 N HOOKER AVE, THREE RIVERS, MI 49093-2231
(269) 273-3065
Mailing address
4146 GRANDWOOD CIR, SAINT JOSEPH, MI 49085-8717
(207) 329-5729
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601993
MI
Other
Enumeration date
01/21/2022
Last updated
04/30/2024
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