| Paul Mallouk DDS | |
|
1317 Main St Delano CA 93215-1737 | |
| (661) 725-9105 | |
| (661) 720-9123 |
| Full Name | Paul Mallouk DDS |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1317 Main St, Delano, California |
| Authorized Official Name and Position | Jenny Garcia (LEAD OF CREDENTIALING) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Mallouk DDS 1317 Main St Delano CA 93215-1737 Ph: (661) 725-9105 | Paul Mallouk DDS 1317 Main St Delano CA 93215-1737 Ph: (661) 725-9105 |
| NPI Number | 1053023945 |
|---|---|
| Provider Enumeration Date | 12/22/2022 |
| Last Update Date | 12/22/2022 |
| Certification Date | 12/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053023945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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