DR. Sanjay M Mallya, B.D.S.

NPI #1538158043 in Los Angeles, California

Provider Information

NPI Number
1538158043
Entity Type
Individual
Name
DR. Sanjay M Mallya, B.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Oral and Maxillofacial Radiology
Credential
B.D.S.
Enumeration Date
Oct 18, 2005
Last Updated
Mar 2, 2010

Practice Location

Address
10833 LE CONTE AVE
Address 2
CHS 10-165
ZIP Code
90095-1668
Phone
(310) 825-5634

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial RadiologyOral and Maxillofacial Radiology

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