Individual
KEVIN MALAKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
98120 QUEENS BLVD STE 1H, REGO PARK, NY 11374-4341
(718) 897-3434
Mailing address
98120 QUEENS BLVD STE 1H, REGO PARK, NY 11374-4341
(718) 897-3434
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
064829
NY
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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