Individual
ANDRIOLA MALAVECI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4302 N 76TH ST, MILWAUKEE, WI 53222-2004
(414) 462-9420
Mailing address
4302 N 76TH ST, MILWAUKEE, WI 53222-2004
(414) 462-9420
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
100251116
WI
Other
Enumeration date
12/27/2014
Last updated
01/10/2015
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