Individual provider · NPI-1

Dr. Wilyam Abdelmalik, DMD

Dentist · Las Vegas, NV

NPI number1073169603
StatusActive
Last updated in NPPESJun 5, 2025

Details

NPI
1073169603
Entity type
Individual (NPI-1)
Name
Dr. Wilyam Abdelmalik
Credential
DMD
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 9, 2019
Certification date
Jun 5, 2025
Last updated
Jun 5, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist7623NVYes
122300000X Dentist9446SC

Practice location

7510 W Sahara Ave
Las Vegas, NV 89117-2742

Phone 702-490-9925

Mailing address

1209 N Retail Ct
Myrtle Beach, SC 29577-9626

Phone 843-874-4060

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