Provider Demographics
NPI:1689348526
Name:MALAS, MHD YAHYA (DMD)
Entity Type:Individual
Prefix:DR
First Name:MHD
Middle Name:YAHYA
Last Name:MALAS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 SIDNEY ST APT 304
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-4149
Mailing Address - Country:US
Mailing Address - Phone:734-717-7860
Mailing Address - Fax:
Practice Address - Street 1:283 BROAD ST
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-3160
Practice Address - Country:US
Practice Address - Phone:603-333-1180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-04
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH046761223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice