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Organization
U TOO
Active
Organization
U TOO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT MALONE D.D.S. (OWNER/DOCTOR)
(210) 670-9000
Entity
Organization
Contact information
Practice address
9530 POTRANCO RD, SAN ANTONIO, TX 78251-9601
(210) 670-9000
Mailing address
9530 POTRANCO RD, SAN ANTONIO, TX 78251-9601
(210) 670-9000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
TX
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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