Individual
DR. MARYAM MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7400 GRANBY ST, NORFOLK, VA 23505-3436
(757) 583-1535
Mailing address
7400 GRANBY ST, STE D, NORFOLK, VA 23509-1111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414945
VA
Other
Enumeration date
07/15/2015
Last updated
10/06/2016
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