Individual
DR. GAYATRI MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS
Contact information
Practice address
100 NORTH ACADEMY AVE., DANVILLE, PA 17822-1336
(570) 271-6355
(570) 271-5788
Mailing address
100 NORTH ACADEMY AVE., DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS040714
PA
390200000X
Student in an Organized Health Care Education/Training Program
390200000X
—
Other
Enumeration date
04/20/2010
Last updated
08/06/2020
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