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Individual

DR. JEFFREY SCOTT MALONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD.MHM

Contact information

Practice address
9530 POTRANCO RD, SAN ANTONIO, TX 78251
(210) 670-9000
Mailing address
9530 POTRANCO RD, SAN ANTONIO, TX 78251
(210) 670-3001

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
21086
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1312131
INS
TX
Enumeration date
06/28/2007
Last updated
07/08/2007
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