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Contact Information

RAHUL MALIK, DMD
2702 WEST DEYOUNG STREET
MARION, IL62959
 Phone: 205-639-7259
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for RAHUL MALIK · (Male)

NPI # 1134481229
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 06/13/2012
Last updated 03/01/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 10776
  • IL License # 019029285
  • MA License # DN1856010
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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