NPI 1255509592

A. K. Bobby Mallik, DMD

Organisation Health Maintenance Organization Durham, NC

Practice location

Address: 3719 University Dr STE B, Durham, NC 27707-6230
Phone: (919) 493-5332

Authorised official

Name: Jillian Wright Boone
Title: Office Manager
Phone: (919) 493-5332

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 8148 (NC)

Other Health Maintenance Organization providers in North Carolina →

Registry record

NPI: 1255509592
Entity type: Organization
NPI issued: 20 Feb 2008
Record last updated: 7 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.