Individual
DIVYA MALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DENTIST
Contact information
Practice address
123 N 13TH ST, ALLENTOWN, PA 18102-3795
(610) 434-9660
Mailing address
902 W HAMILTON ST APT 808, ALLENTOWN, PA 18101-1178
(716) 239-3011
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
13852
CT
122300000X
Dentist
Primary
DS044187
PA
1223G0001X
General Practice Dentistry
13852
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/01/2023
Last updated
12/01/2025
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