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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