| Mallick Endodontics | |
|
1 Cumberland Pl Ste 202 Bangor ME 04401-5088 | |
| (207) 573-1243 | |
| Not Available |
| Full Name | Mallick Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1 Cumberland Pl Ste 202, Bangor, Maine |
| Authorized Official Name and Position | Nikhil S Mallick (OWNER) |
| Authorized Official Contact | 2075731243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mallick Endodontics 1 Cumberland Pl Ste 202 Bangor ME 04401-5088 Ph: (207) 573-1243 | Mallick Endodontics 1 Cumberland Pl Ste 202 Bangor ME 04401-5088 Ph: (207) 573-1243 |
| NPI Number | 1205498870 |
|---|---|
| Provider Enumeration Date | 07/03/2019 |
| Last Update Date | 07/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205498870 | NPI | - | NPPES |
| 1124382346 | Other | NPI | |
| DEN4260 | Other | ME | STATE DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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