Individual
DR. CHRISTO GEORGE MALLAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1060 E GRAND AVE, ESCONDIDO, CA 92025-4605
(760) 747-1811
Mailing address
1060 E GRAND AVE, ESCONDIDO, CA 92025-4605
(760) 747-1811
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
63439
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63439
DENTAL BOARD OF CALIFORNIA
CA
Enumeration date
06/12/2014
Last updated
06/12/2014
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