NPI | 1255348926 |
---|---|
Doing Business As | M & M ORTHODONTICS, PA |
Entity Type | Organization |
Authorized Contact | DIANA T MALONE Orthodontist 210-696-3001 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 20402) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 21086) |
Enumeration Date | 2006-08-02 |
Last Update Date | 2010-05-25 |