Individual
JOHN R MALENSEK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2600 N MAYFAIR RD, STE 750, WAUWATOSA, WI 53226
(414) 257-3366
(414) 258-1390
Mailing address
W224 N2384 MEADOWOOD LANE, WAUKESHA, WI 53186
(262) 544-5371
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5000796015
WI
Other
Enumeration date
03/14/2006
Last updated
07/08/2007
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