Individual
MICHAEL A. MALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7777 HENNESSY BLVD STE 306, BATON ROUGE, LA 70808-4365
(225) 763-3939
Mailing address
7777 HENNESSY BLVD STE 306, BATON ROUGE, LA 70808-4365
(225) 763-3939
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
7650
LA
390200000X
Student in an Organized Health Care Education/Training Program
DRPM1861
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
01/30/2017
Last updated
06/26/2025
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