Provider Demographics
NPI:1437250214
Name:ABDELMALEK, ASHRAF SAMI (DDS)
Entity Type:Individual
Prefix:DR
First Name:ASHRAF
Middle Name:SAMI
Last Name:ABDELMALEK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16100 SAND CANYON AVE
Mailing Address - Street 2:STE 300
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3718
Mailing Address - Country:US
Mailing Address - Phone:949-453-9800
Mailing Address - Fax:949-453-9925
Practice Address - Street 1:16100 SAND CANYON AVE
Practice Address - Street 2:300
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618
Practice Address - Country:US
Practice Address - Phone:949-453-9800
Practice Address - Fax:949-453-9925
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA441321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice