Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daniela C Mallack

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770173700

Daniela C Mallack is a Student in an Organized Health Care Education/Training Program in Montclair, New Jersey. Licensed in New Jersey. Registered with an NPI since 2021.

Licensed in
NJ
In the registry since
2021
Specialties on file
2

Practice location Address checks out

1 Bay Ave
Montclair, NJ 07042-4837
Phone: (973) 429-6888
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 22DI02868001 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1770173700
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 23, 2021
Last updated in NPPESFebruary 5, 2025
Certification dateJanuary 30, 2025
Mailing address1 Bay Ave, Montclair, NJ 07042-4837

Other providers in Montclair