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Individual

DR. DONI REBECCA MALLIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
8048 5TH ST, DEXTER, MI 48130-1033
(734) 426-2220
Mailing address
8048 5TH ST, DEXTER, MI 48130-1033
(734) 426-2220

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901017984
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4475754
MI
01
D800438
BLUECROSS
MI
Enumeration date
11/09/2006
Last updated
05/15/2025
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