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NPI Code Detail

MEDICARE: DR. BARABARA MALZ I D.D.S.

MEDICARE:  DR. BARABARA  MALZ I D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry008944CT

General Provider Information

NPI Number : 1427266519
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BARABARA MALZ I D.D.S.
Provider Business Mailing Address
First Line : 97 PINNACLE RD
Second Line :
City : PLAINVILLE
State : CT
Zip : 06062-1427
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 33 LEXINGTON ST
Second Line :
City : NEW BRITAIN
State : CT
Zip : 06052-1446
Country : US
Telephone Number : 860-826-6598
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2007
Last Update Date : 07/08/2007

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Directions to “ DR. BARABARA MALZ I D.D.S.” Practice Location

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