Individual
DR. NISREEN MALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BDS, DDS, MFD, MBA
Contact information
Practice address
4444 NE SUNSET BLVD STE 3, RENTON, WA 98059-4018
(425) 226-2615
(425) 226-5126
Mailing address
4444 NE SUNSET BLVD STE 3, RENTON, WA 98059-4018
(425) 226-2615
(425) 226-5126
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE61374781
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123456789
SELF CREATED RANDOM NUMBERS
—
Enumeration date
01/27/2023
Last updated
07/21/2024
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