Provider Demographics
NPI:1780975318
Name:MALIK, MOHNI (DMD)
Entity type:Individual
Prefix:DR
First Name:MOHNI
Middle Name:
Last Name:MALIK
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:MOHNI
Other - Middle Name:
Other - Last Name:SHAH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:18318 UNIVERSITY BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4762
Mailing Address - Country:US
Mailing Address - Phone:281-407-0484
Mailing Address - Fax:
Practice Address - Street 1:18318 UNIVERSITY BLVD STE 300
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-4762
Practice Address - Country:US
Practice Address - Phone:281-407-0484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-30
Last Update Date:2021-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX263571223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics