Provider Demographics
NPI:1023163987
Name:MALIK, SALEH AHMED (DMD)
Entity type:Individual
Prefix:DR
First Name:SALEH
Middle Name:AHMED
Last Name:MALIK
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 1:525 N ENOLA RD
Mailing Address - Street 2:
Mailing Address - City:ENOLA
Mailing Address - State:PA
Mailing Address - Zip Code:17025-2129
Mailing Address - Country:US
Mailing Address - Phone:717-732-2550
Mailing Address - Fax:717-732-2275
Practice Address - Street 1:525 N ENOLA RD
Practice Address - Street 2:
Practice Address - City:ENOLA
Practice Address - State:PA
Practice Address - Zip Code:17025-2129
Practice Address - Country:US
Practice Address - Phone:717-732-2550
Practice Address - Fax:717-732-2275
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS021342-L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist