Provider Demographics
NPI:1174290068
Name:MALHI, NAVNEET K (DDS)
Entity Type:Individual
Prefix:
First Name:NAVNEET
Middle Name:K
Last Name:MALHI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:823 DODD CT
Mailing Address - Street 2:
Mailing Address - City:BAY POINT
Mailing Address - State:CA
Mailing Address - Zip Code:94565-6759
Mailing Address - Country:US
Mailing Address - Phone:703-659-7505
Mailing Address - Fax:
Practice Address - Street 1:3332 N TEXAS ST STE C
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-9806
Practice Address - Country:US
Practice Address - Phone:707-399-9082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-27
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106897122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist