Organization
EVANS FAMILY DENTISTRY, PLLC
Active
Other names
Evans Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISHNA MALAVIYA DDS (OWNER)
(248) 990-5478
Entity
Organization
Contact information
Practice address
22250 BULVERDE RD STE 109, SAN ANTONIO, TX 78261-3081
(210) 757-3199
Mailing address
1311 MULESHOE PASS, SAN ANTONIO, TX 78258-3443
(248) 990-5478
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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