Individual
JOHN PAUL MALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
339 W IOWA AVE, NAMPA, ID 83686-2856
(208) 505-1946
Mailing address
339 W IOWA AVE, NAMPA, ID 83686-2856
(208) 505-1946
(208) 505-1918
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D4557
ID
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DR20000202
WA
Other
Enumeration date
08/16/2007
Last updated
05/07/2025
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