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Organization

MALLERNEE FAMILY DENTAL PLLC

Active
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Organization

MALLERNEE FAMILY DENTAL PLLC

Active
Other names
Restoration Dental
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KYE EDWARD MALLERNEE DMD (DENTIST)
(217) 619-1059
Entity
Organization

Contact information

Practice address
9820 BRAUN RD, SAN ANTONIO, TX 78254-9656
(217) 619-1059
Mailing address
9820 BRAUN RD, SAN ANTONIO, TX 78254-9656
(217) 619-1059

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31328
TX

Other

Enumeration date
01/08/2018
Last updated
01/08/2018
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