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
Fax: (661) 720-9123
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053314872 NPPES
California MEDICAID B41025

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