# LONESTAR BRACES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285355115
- **Authorized official:** KHUSHBU MALHOTRA DMD (ASSISTANT DIRECTOR)
- **Authorized official phone:** (617) 834-4646

## Contact information

- **Practice address:** 9163 FM 78 STE 1, CONVERSE, TX 78109-2148
- **Practice address phone:** (210) 971-8989
- **Mailing address:** 10615 YSAMY WAY, SAN ANTONIO, TX 78213-1659

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/08/2022
- **Last updated:** 05/15/2023