Provider Demographics
NPI:1235440447
Name:MALLA, SABINA (DDS)
Entity Type:Individual
Prefix:DR
First Name:SABINA
Middle Name:
Last Name:MALLA
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 1:3 NICOLE WAY
Mailing Address - Street 2:
Mailing Address - City:NORTH DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747-3863
Mailing Address - Country:US
Mailing Address - Phone:971-275-5583
Mailing Address - Fax:
Practice Address - Street 1:933 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02723-1000
Practice Address - Country:US
Practice Address - Phone:508-673-3044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-23
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT128491223G0001X
MADN18558191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice