NPI 1023677879

Nicole Maletzke, DMD

Practitioner Dentist Lac Du Flambeau, WI

Practice location

Address: 128 Old Abe Rd, Lac Du Flambeau, WI 54538-9386
Phone: (715) 588-4269
Mailing address: 9021a Parkshore Dr, Minocqua, WI 54548-9740

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 1002065-15 (WI)

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Registry record

NPI: 1023677879
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jun 2019
Record last updated: 6 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.