Provider Demographics
NPI:1295789261
Name:MALAKI & ASSOCIATES CHTD
Entity type:Organization
Organization Name:MALAKI & ASSOCIATES CHTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MO
Authorized Official - Middle Name:
Authorized Official - Last Name:MALAKI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:702-258-5433
Mailing Address - Street 1:8650 W TROPICANA AVE
Mailing Address - Street 2:STE A207
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147
Mailing Address - Country:US
Mailing Address - Phone:702-258-5433
Mailing Address - Fax:702-458-5433
Practice Address - Street 1:8650 W TROPICANA AVE
Practice Address - Street 2:STE A207
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147
Practice Address - Country:US
Practice Address - Phone:702-258-5433
Practice Address - Fax:702-458-5433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3727122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty