Organization
MYSA DENTAL PLLC
Active
Parent organization
MYSA DENTAL PLLC
Other names
Mysa Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
MYSA DENTAL PLLC
Authorized official
DR. KHUSHBU MALHOTRA DMD (DENTIST)
(617) 834-4646
Entity
Organization
Contact information
Practice address
13762 POTRANCO RD STE 105, SAN ANTONIO, TX 78253-4047
(210) 564-9044
(210) 564-9088
Mailing address
10615 YSAMY WAY, SAN ANTONIO, TX 78213-1659
(617) 834-4646
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
05/15/2023
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