Most Relevant Information
Provider Data
| NPI Number: | 1003196445 |
| Provider Name: | ALEVTINA MALAKOVA D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 055748 |
Most Important Dates
| Enumeration Date: | 08/17/2011 |
| Last Updated: | 11/12/2019 |
Provider Practice Location
9123 QUEENS BLVD STE B
ELMHURST
NY
113735559
Practice Location Phone/Fax
| Phone: | 7182052055 |
| Fax: | 7182052355 |
Provider Mailing Location
10025 QUEENS BLVD APT 5S
FOREST HILLS
NY
113752460
Provider Mailing Phone/Fax
| Phone: | 7187444811 |
| Fax: |