Individual
DR. LANCY ANTONY K'MALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
29510 GRATIOT AVE, ROSEVILLE, MI 48066-4136
(586) 775-4321
Mailing address
18350 AUTUMNWOOD DR, CLINTON TWP, MI 48035-1370
(586) 792-2653
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901016187
MI
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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