Organization
LONESTAR BRACES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHUSHBU MALHOTRA DMD (ASSISTANT DIRECTOR)
(617) 834-4646
Entity
Organization
Contact information
Practice address
9163 FM 78 STE 1, CONVERSE, TX 78109-2148
(210) 971-8989
Mailing address
10615 YSAMY WAY, SAN ANTONIO, TX 78213-1659
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/08/2022
Last updated
05/15/2023
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