Individual
DR. KYE EDWARD MALLERNEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
9820 BRAUN RD STE 102, SAN ANTONIO, TX 78254
(210) 523-2400
Mailing address
9820 BRAUN RD STE 102, SAN ANTONIO, TX 78254-9657
(210) 523-2400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31328
TX
Other
Enumeration date
07/31/2015
Last updated
06/03/2019
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