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Individual

MOHAMMAD MALEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1008 BIG OAK CT, SUITE C, KNIGHTDALE, NC 27545-8841
(919) 266-3380
(919) 266-3319
Mailing address
1008 BIG OAK CT, SUITE C, KNIGHTDALE, NC 27545-8841
(919) 266-3380
(919) 266-3319

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7005
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
899016V
NC
Enumeration date
04/21/2006
Last updated
12/18/2012
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