Individual
KRISHNA MALAVIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
22250 BULVERDE RD STE 109, SAN ANTONIO, TX 78261-3081
(210) 403-2700
Mailing address
1311 MULESHOE PASS, SAN ANTONIO, TX 78258-3443
(248) 990-5478
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32273
TX
1223G0001X
General Practice Dentistry
32273
TX
Other
Enumeration date
08/17/2016
Last updated
09/24/2024
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