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Rose Malkovich, CLDA — NPI 1497061766, Minneapolis, MN | NPI Central

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NPI 1497061766

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Rose Malkovich, CLDA

NPI 1497061766 · Dental Assistant · Minneapolis, MN

Provider details

NPI number: 1497061766
Entity type: Individual
Primary specialty: Dental AssistantDental Providers
Credential: CLDA
Sex: Female
Sole proprietor: No
License: A4520 (MN)

Specialties & taxonomies

Dental AssistantPrimary126800000XLicense A4520 (MN)
Dental Providers

Practice location

3657 Minnehaha Ave

Minneapolis, MN 55406-2628

Phone: (612) 721-1689

Approximate (ZIP-level) locationGet directions

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Mailing address

3657 Minnehaha Ave

Minneapolis, MN 55406-2628

Registry dates

Enumerated: 2010-08-25
Last updated: 2010-08-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.