Individual
ISRA MALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5727 ALLIN RD, PRINCE GEORGE, VA 23875-2343
(804) 862-4416
Mailing address
2800 ANNAKAY XING, MIDLOTHIAN, VA 23113-1403
(240) 688-7595
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401418934
VA
Other
Enumeration date
04/23/2024
Last updated
08/03/2026
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