Organization
ZIVA DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMEET MALHOTRA DMD (OWNER)
(210) 988-0777
Entity
Organization
Contact information
Practice address
5835 CULEBRA RD STE 105, SAN ANTONIO, TX 78228-4355
(210) 988-0777
(210) 202-2658
Mailing address
1548 WILDCAT DR, PORTLAND, TX 78374-2814
(361) 777-0700
(361) 777-0300
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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