Individual
DR. MANAV MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3103 FRUITVILLE RD, SARASOTA, FL 34237
(941) 953-2111
Mailing address
3103 FRUITVILLE RD, SARASOTA, FL 34237
(941) 953-2111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
TX24260
TX
1223P0221X
Pediatric Dentistry
24260
TX
1223P0221X
Pediatric Dentistry
Primary
DN17924
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195675702
—
TX
Enumeration date
03/18/2008
Last updated
07/07/2011
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