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Contact Information

ANKIT MALHOTRA, DMD
7310 N VILLA LAKE DR STE B
PEORIA, IL61614
 Phone: 309-691-9072
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ANKIT MALHOTRA · (Male)

NPI Number 1326538729
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 05/11/2018
Last updated 08/14/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 019.031834
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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