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NPI Code Detail

MEDICARE: SOBIA MALIK DMD

MEDICARE:   SOBIA  MALIK  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDS041301PA
21223G0001XGeneral Practice DentistryDS041301PA
31223G0001XGeneral Practice Dentistry33754TX
4122300000XDentist33754TX

General Provider Information

NPI Number : 1205358389
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOBIA MALIK DMD
Provider Business Mailing Address
First Line : 640 N BROAD ST APT 500
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19130-3434
Country : US
Telephone Number : 215-820-5641
Fax Number :
Provider Business Practice Location Address
First Line : 2400 MID LN STE 350
Second Line :
City : HOUSTON
State : TX
Zip : 77027-4466
Country : US
Telephone Number : 713-714-4245
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2017
Last Update Date : 02/14/2024

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Directions to “ SOBIA MALIK DMD” Practice Location

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