Individual
DR. MARJAN MALEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4720 PEACHTREE INDUSTRIAL BLVD, SUITE 302, BERKELEY LAKE, GA 30071-5735
(770) 449-1497
(770) 449-7992
Mailing address
454 LORIDANS DR NE, ATLANTA, GA 30342-3406
(404) 583-3090
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN012820
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280388614A
—
GA
Enumeration date
01/09/2006
Last updated
11/01/2016
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