Provider Demographics
NPI:1548692346
Name:M&M ENDODONTICS PLLC
Entity type:Organization
Organization Name:M&M ENDODONTICS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ENDODONTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MANSI
Authorized Official - Middle Name:
Authorized Official - Last Name:MALAVIA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:281-789-7123
Mailing Address - Street 1:10110 WOODLANDS PKWY
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77382-2931
Mailing Address - Country:US
Mailing Address - Phone:281-789-7123
Mailing Address - Fax:281-362-0277
Practice Address - Street 1:10110 WOODLANDS PKWY
Practice Address - Street 2:SUITE 1000
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382-2931
Practice Address - Country:US
Practice Address - Phone:281-789-7123
Practice Address - Fax:281-362-0277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-02
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty