Individual
MR. MORAD R MALAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3608 W CAMELBACK RD, PHOENIX, AZ 85019
(602) 544-2480
(602) 242-4267
Mailing address
1739 E BROADWAY RD, STE #171, TEMPE, AZ 85282
(267) 235-9074
(602) 242-4267
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5701
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
715245
—
AZ
Enumeration date
12/02/2006
Last updated
07/08/2007
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