# JOHN PAUL MALAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1093907610
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | D4557 | ID | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DR20000202 | WA | — |

## Other

- **Enumeration date:** 08/16/2007
- **Last updated:** 05/07/2025