Provider Demographics
NPI:1447261342
Name:MALHMOOD, ARNOLD IRWIN (DDS)
Entity type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:IRWIN
Last Name:MALHMOOD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:474 N FREDERICK AVENUE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20872-2821
Mailing Address - Country:US
Mailing Address - Phone:301-926-6622
Mailing Address - Fax:
Practice Address - Street 1:474 N FREDERICK AVENUE
Practice Address - Street 2:SUITE 203
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-2821
Practice Address - Country:US
Practice Address - Phone:301-926-6622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD34281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice