| NPI | 1356351456 |
|---|---|
| Doing Business As | M & M ORTHODONTICS, PA |
| Entity Type | Organization |
| Authorized Contact | DIANA T MALONE Orthodontist 210-667-2929 |
| 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) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 23783) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2008-08-12 |