Individual
RACQUEL MALOUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3385 WALDON RD, LAKE ORION, MI 48360-1648
(248) 391-2244
Mailing address
3385 WALDON RD, LAKE ORION, MI 48360-1648
(248) 391-2244
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901600229
MI
Other
Enumeration date
07/02/2019
Last updated
02/13/2020
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