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

Miss. Rose A Malkovich, CLDA

Individual provider Dental Assistant · NPI 1497061766

Miss. Rose A Malkovich, CLDA is a Dental Assistant in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2010.

Licensed in
MN
In the registry since
2010
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Practice location Address checks out

3657 Minnehaha Ave
Minneapolis, MN 55406-2628
Phone: (612) 721-1689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence A4520 (MN)

Record details

NPI number1497061766
Entity typeIndividual (Type 1)
GenderFemale
Credentials CLDA
Sole proprietorNo
NPI enumeratedAugust 25, 2010
Last updated in NPPESAugust 25, 2010

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