Individual
KATHERINE MALYSZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
10010 COORS BLVD NW, ALBUQUERQUE, NM 87114-6468
(505) 420-5668
Mailing address
10010 COORS BLVD NW, ALBUQUERQUE, NM 87114-6468
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DB-2025-0103
NM
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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