| NPI | 1881815942 |
|---|---|
| Former Name | MICKEL ABELSON MALEK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 62197) |
| Additional Taxonomies | 122300000X Dentist (Licence: AZ D3474) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2024-06-04 |