Individual provider · Type 1 NPI

Elizaveta Malinina, DMD

Student in an Organized Health Care Education/Training Program · Lyons, NJ

NPI number 1104276088 Active

Practice location

151 Knollcroft Rd
Lyons, NJ 07939-5001

Call (908) 647-0180 Map

Mailing address

36 Hawthorne Pl Apt 2A
Montclair, NJ 07042-3243

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDN1857677 (MA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104276088

Elizaveta Malinina, DMD's National Provider Identifier is 1104276088, issued on Jun 21, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lyons, NJ. The record was last updated on Jul 25, 2022.