Organization
D MAHENDRA MAVALLI PLLC
Active
Other names
Hawk Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHENDRA D MAVALLI PHD (PEDIATRIC DENTIST)
(469) 961-7082
Entity
Organization
Contact information
Practice address
151 RIDGE POINT PKWY STE 100, KELLER, TX 76248-8801
(817) 697-5166
Mailing address
333 BEECHWOOD LN, COPPELL, TX 75019-5307
(469) 961-7082
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/16/2022
Last updated
07/24/2024
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