Individual
LISA NICOLE MALKIEWICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
821 TENNENT RD, MANALAPAN, NJ 07726-8250
(732) 536-2600
Mailing address
208 LIVINGSTON ST APT 2, WESTFIELD, NJ 07090-1510
(732) 881-0102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02681400
NJ
Other
Enumeration date
03/29/2017
Last updated
12/07/2021
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