Individual provider · Type 1 NPI

Daniela C. Mallack

General Practice Dentistry · Montclair, NJ

NPI number 1770173700 Active

Practice location

1 Bay Ave
Montclair, NJ 07042-4837

Call (973) 429-6888 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Dentistry Primary 1223G0001X22DI02868001 (NJ)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1770173700

Daniela C. Mallack's National Provider Identifier is 1770173700, issued on Jan 23, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Montclair, NJ. The record was last updated on Feb 5, 2025.