Individual
MUBARIK ALI MALIK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2919 N 22ND ST, PHILA, PA 19132
(215) 227-0107
(215) 228-2325
Mailing address
2919 N 22ND ST, PHILA, PA 19132
(215) 227-0107
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DSO 20404-L
PA
Other
Enumeration date
11/18/2005
Last updated
07/08/2007
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