Individual
JENNIFER MALICOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
800 E MICHIGAN AVE, GRAYLING, MI 49738-1418
(989) 344-2525
Mailing address
800 E MICHIGAN AVE, GRAYLING, MI 49738-1418
(989) 344-2525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901023181
MI
Other
Enumeration date
05/28/2019
Last updated
11/23/2022
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