| Max a Malkoff DMD | |
|
3040 Belmont Ave Suite B Youngstown OH 44505-1836 | |
| (330) 759-7007 | |
| (330) 759-2959 |
| Full Name | Max a Malkoff DMD |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3040 Belmont Ave, Youngstown, Ohio |
| Authorized Official Name and Position | Max a Malkoff (PRESIDENT/OWNER) |
| Authorized Official Contact | 3307597007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Max a Malkoff DMD 3040 Belmont Ave Suite B Youngstown OH 44505-1836 Ph: (330) 759-7007 | Max a Malkoff DMD 3040 Belmont Ave Suite B Youngstown OH 44505-1836 Ph: (330) 759-7007 |
| NPI Number | 1922272467 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 04/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922272467 | NPI | - | NPPES |
| 0630204 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30.012912 (Ohio) | Primary |
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