Individual
DR. MALIK BOURGHLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
781 S COTTON LN STE 100, GOODYEAR, AZ 85338-4644
(623) 882-3636
Mailing address
781 S COTTON LN STE 100, GOODYEAR, AZ 85338-4644
(623) 882-3636
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D012711
AZ
122300000X
Dentist
DN30472
FL
1223G0001X
General Practice Dentistry
Primary
DN30472
FL
Other
Enumeration date
07/11/2025
Last updated
01/14/2026
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