Individual
SHYAM K MALHOTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1005 D B TODD BLVD A 33, NASHVILLE, TN 37208
(615) 327-6303
(615) 321-2990
Mailing address
1005 D B TODD BLVD A 33, MEHARRY MED COLLEGE, NASHVILLE, TN 37208
(615) 327-6303
(615) 321-2990
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS2711
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159185
—
TN
Enumeration date
12/12/2006
Last updated
07/08/2007
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