Individual
MS. SUSAN PATRICE MALECEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
16991 198TH AVENUE NW, BIG LAKE, MN 55309-0249
(763) 263-6350
(763) 263-0136
Mailing address
14929 191ST AVE NW, ELK RIVER, MN 55330-7956
(763) 441-6253
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5338
MN
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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