Individual
DR. DIANA T MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS.MS
Contact information
Practice address
4939 DE ZAVALA RD, #102, SAN ANTONIO, TX 78249-2046
(210) 696-3001
Mailing address
4939 DE ZAVALA RD, #102, SAN ANTONIO, TX 78249-2046
(210) 696-3001
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
20402
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014940
INS
TX
01
—
1312131
INS
TX
Enumeration date
06/27/2007
Last updated
07/08/2007
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