Individual
ARIF SIDDIQ MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6412 WOODLAND AVE, PHILADELPHIA, PA 19142-2323
(215) 726-1480
(215) 726-6211
Mailing address
6412 WOODLAND AVE, PHILADELPHIA, PA 19142-2323
(215) 726-1480
(215) 726-6211
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS020403L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024707
—
PA
05
—
0520771
—
PA
Enumeration date
12/05/2006
Last updated
07/09/2007
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