Individual
DR. DAVID 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) 897-1144
Mailing address
6735 110TH ST, FOREST HILLS, NY 11375-2918
(917) 502-0268
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
060382
NY
1223P0300X
Periodontics
DN25746
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/07/2016
Last updated
03/30/2021
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