| Shaun Malek D.d.s.,inc. | |
|
465 N Lake Ave Pasadena CA 91101-1215 | |
| (626) 405-1445 | |
| (626) 405-4830 |
| Full Name | Shaun Malek D.d.s.,inc. |
|---|---|
| Speciality | Dentist |
| Location | 465 N Lake Ave, Pasadena, California |
| Authorized Official Name and Position | Shaun Malek (PRESIDENT) |
| Authorized Official Contact | 6264051445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shaun Malek D.d.s.,inc. 465 N Lake Ave Pasadena CA 91101-1215 Ph: (626) 405-1445 | Shaun Malek D.d.s.,inc. 465 N Lake Ave Pasadena CA 91101-1215 Ph: (626) 405-1445 |
| NPI Number | 1659588234 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659588234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 36579 (California) | Primary |
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