Individual
CHARIKLEIA MALAMOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
355 W MORRIS ST STE 105, BATH, NY 14810-1059
(607) 776-6600
Mailing address
355 W MORRIS ST STE 105, BATH, NY 14810-1059
(607) 776-6600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
061082
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/09/2017
Last updated
03/16/2021
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