# ZIVA DENTAL PLLC

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

## Provider details

- **NPI number:** 1962041640
- **Authorized official:** SUMEET MALHOTRA DMD (OWNER)
- **Authorized official phone:** (210) 988-0777

## Contact information

- **Practice address:** 5835 CULEBRA RD STE 105, SAN ANTONIO, TX 78228-4355
- **Practice address phone:** (210) 988-0777
- **Practice address fax:** (210) 202-2658
- **Mailing address:** 1548 WILDCAT DR, PORTLAND, TX 78374-2814
- **Mailing address phone:** (361) 777-0700
- **Mailing address fax:** (361) 777-0300

## Taxonomy

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

## Other

- **Enumeration date:** 12/30/2019
- **Last updated:** 12/30/2019