Individual
MRS. NA-REE KIM MALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2274 N EAGLE RD, SUITE 130, MERIDIAN, ID 83646-6615
(208) 893-5440
Mailing address
2274 N EAGLE RD, SUITE 130, MERIDIAN, ID 83646-6615
(208) 893-5440
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61540
CA
122300000X
Dentist
D-4667
ID
122300000X
Dentist
DE00011089
WA
Other
Enumeration date
09/11/2007
Last updated
12/23/2015
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