Individual
CAMILA ROSE MALLAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
29848 FORD RD, GARDEN CITY, MI 48135-2365
(313) 578-1353
Mailing address
50634 SILVERTON, CANTON, MI 48187-7703
(313) 578-1353
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901602142
MI
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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