MYSA DENTAL PLLC NPI 1710587431

NPI Information

MYSA DENTAL PLLC is a dental clinic center in San Antonio, TX. MYSA DENTAL PLLC NPI is 1710587431. The provider is registered as an organization entity type.
The provider Is Doing Business As Mysa Dental.

The provider's business location address is:

13762 POTRANCO RD STE 105
SAN ANTONIO, TX
ZIP 78253-047
Phone: (210) 564-9044
Fax: (210) 564-9088

The provider's authorized official is Khushbu Malhotra .
The authorized official title is Dentist and has the following contact phone number (617) 834-4646.

The enumeration date for this NPI number is 10/30/2020 and was last updated on 5/15/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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