| Kamelia Mallak Dds, Inc | |
|
3943 E Anaheim St Long Beach CA 90804-4101 | |
| (562) 597-4500 | |
| (562) 494-7334 |
| Full Name | Kamelia Mallak Dds, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3943 E Anaheim St, Long Beach, California |
| Authorized Official Name and Position | Kamelia Mallak (OWNER) |
| Authorized Official Contact | 3106331337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kamelia Mallak Dds, Inc 3943 E Anaheim St Long Beach CA 90804-4101 Ph: (562) 597-4500 | Kamelia Mallak Dds, Inc 3943 E Anaheim St Long Beach CA 90804-4101 Ph: (562) 597-4500 |
| NPI Number | 1285079129 |
|---|---|
| Provider Enumeration Date | 05/06/2013 |
| Last Update Date | 05/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285079129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 58207 (California) | Primary |
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