| NPI | 1144328220 |
|---|---|
| Former Name | CYNTHIA MARIE MALECKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 29652) |
| Additional Taxonomies | 122300000X Dentist (Licence: AK AK1051) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-03-23 |