Basic Information
| Provider Information | |||||||||
| NPI: | 1942635370 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | QADRI | ||||||||
| FirstName: | MALIHA | ||||||||
| MiddleName: | S | ||||||||
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| Credential: | DMD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1090 NORTHCHASE PKWY SE | ||||||||
| Address2: | SUITE 290 | ||||||||
| City: | MARIETTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300676405 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7709165362 | ||||||||
| FaxNumber: | 6782477829 | ||||||||
| Practice Location | |||||||||
| Address1: | 933 PLEASANT ST | ||||||||
| Address2: | SUITE 102-103 | ||||||||
| City: | FALL RIVER | ||||||||
| State: | MA | ||||||||
| PostalCode: | 027231000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5086783044 | ||||||||
| FaxNumber: | 5086734396 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/04/2013 | ||||||||
| LastUpdateDate: | 09/04/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223G0001X | DN1856365 | MA | Y | Dental Providers | Dentist | General Practice |
No ID Information.