Individual
DR. MAHENDRA D MAVALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
151 RIDGE POINT PKWY STE 100, KELLER, TX 76248-8801
(817) 697-5166
Mailing address
151 RIDGE POINT PKWY STE 100, KELLER, TX 76248-8801
(817) 697-5166
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
27392
TX
Other
Enumeration date
12/26/2011
Last updated
08/01/2024
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