Mallouk, Paul Michel
Mallouk, Paul Michel is an sole proprietor health care provider with primary practice located at 1317 Main St , Delano CA 93215-1737. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mallouk, Paul Michel can be contacted via phone (661) 725-9105.Contact Information
Primary practice address
1317 Main St
Delano CA 93215-1737
Phone: (661) 725-9105
Fax: (661) 720-9123
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 41025 | California |
Profile Details
| NPI number | 1053314872 |
|---|---|
| LBN Legal business name | Mallouk, Paul Michel |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2005 |
| Last updated | Mar 3rd, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053314872 | NPPES |
| California | MEDICAID | B41025 |
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