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1992550859
ISRA MALIK
PORTLAND, ME
NPI
1992550859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401418934)
Enumeration Date
2024-04-23
Last Update Date
2024-08-05
Business Address
ISRA MALIK
33 BLACK SPARROW DR
PORTLAND, ME 04102-1633
Phone number: 240-688-7596
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Mailing Address
ISRA MALIK
33 BLACK SPARROW DR
PORTLAND, ME 04102-1633
Phone number: 240-688-7596
Copy
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