Organization
A. K. BOBBY MALLIK, DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JILLIAN WRIGHT BOONE (OFFICE MANAGER)
(919) 493-5332
Entity
Organization
Contact information
Practice address
3719 UNIVERSITY DR STE B, DURHAM, NC 27707-6230
(919) 493-5332
Mailing address
3719 UNIVERSITY DR STE B, DURHAM, NC 27707-6230
(919) 493-5332
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
8148
NC
Other
Enumeration date
02/20/2008
Last updated
08/07/2008
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