Individual
DR. JASON MAHMALJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4400 FREDERICKSBURG RD STE 103, SAN ANTONIO, TX 78201-1969
(210) 734-9551
Mailing address
1218 SW MILITARY DR, SAN ANTONIO, TX 78221-1535
(210) 928-2814
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25925
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25925
DENTAL
TX
Enumeration date
08/22/2010
Last updated
09/22/2010
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