Niklas Malmstrom
Dentist in Alexandria, VA. Individual provider (NPI-1).
NPI number1639799463
StatusActive
Last updated in NPPESOct 20, 2022
Details
- NPI
- 1639799463
- Entity type
- Individual (NPI-1)
- Name
- Niklas Malmstrom
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 22, 2020
- Certification date
- Oct 20, 2022
- Last updated
- Oct 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 0401418079 | VA | Yes |
Practice location
6481 Old Beulah StAlexandria, VA 22315-3723
Phone 703-997-6073
Mailing address
506 6th StBrooklyn, NY 11215-3609
Phone 718-780-3000
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