Provider Demographics
NPI:1609064559
Name:SZALAI, JOANNE HARTICK (DDS)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:HARTICK
Last Name:SZALAI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5329 ALLEN RD
Mailing Address - Street 2:
Mailing Address - City:ALLEN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48101-2923
Mailing Address - Country:US
Mailing Address - Phone:313-928-2323
Mailing Address - Fax:313-928-3329
Practice Address - Street 1:5329 ALLEN RD
Practice Address - Street 2:
Practice Address - City:ALLEN PARK
Practice Address - State:MI
Practice Address - Zip Code:48101-2923
Practice Address - Country:US
Practice Address - Phone:313-928-2323
Practice Address - Fax:313-928-3329
Is Sole Proprietor?:No
Enumeration Date:2007-10-04
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI15609122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist