JOHN RATNAKER MALLYA

APO, AA
NPI1942438486
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: PA  DS037936)
Enumeration Date2009-06-23
Last Update Date2009-06-23
Business Address
Dr. JOHN RATNAKER MALLYA DMD
579TH DENTAL SQUADRON BOLLING AFB
APO, AA 20332
Phone number: 484-266-9537
Mailing Address
Dr. JOHN RATNAKER MALLYA DMD
2001 RICHARD DR
BROOMALL, PA 19008-2742
Phone number: 484-461-7169