Individual
DR. STEVEN CHARLES MALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
4501 MCCULLOUGH AVE, SUITE 104, SAN ANTONIO, TX 78212-1660
(210) 824-0111
(210) 828-9103
Mailing address
4501 MCCULLOUGH AVE, SUITE 104, SAN ANTONIO, TX 78212-1660
(210) 824-0111
(210) 828-9103
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
27851
TX
1223P0300X
Periodontics
5891
NE
Other
Enumeration date
07/17/2006
Last updated
08/07/2014
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