Provider Demographics
NPI:1265266175
Name:MALINGKAS DMD PLLC
Entity type:Organization
Organization Name:MALINGKAS DMD PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MALINGKAS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:760-985-8769
Mailing Address - Street 1:3935 E VALLEJO DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85298-9181
Mailing Address - Country:US
Mailing Address - Phone:760-985-8769
Mailing Address - Fax:
Practice Address - Street 1:907 E COTTONWOOD LN STE 1
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-2226
Practice Address - Country:US
Practice Address - Phone:520-876-5431
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-02
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty