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Dr. Sanjay M Mallya, BDS
Oral and Maxillofacial Radiology Dentist in Los Angeles, California
NPI 1538158043

Sanjay M Mallya is a Oral and Maxillofacial Radiology Dentist based in Los Angeles, CA and is specialized in Oral and Maxillofacial Radiology. Sanjay M Mallya practices in Los Angeles, CA and has the professional credentials of BDS. The NPI Number for Sanjay M Mallya is 1538158043 and holds a License No. 9026 (California).

The current practice location address for Sanjay M Mallya is 10833 Le Conte Ave, Los Angeles, CA and can be reached out via phone at 310-825-5634 and via fax at 310-206-2748. You can also correspond with Sanjay M Mallya through the mailing address at P.O. BOX 951668, LOS ANGELES, CA - 90095-1668 (mailing address contact number: 860-679-2453).

Location: 10833 Le Conte Ave, Los Angeles, CA, 90095-1668
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Provider Profile Details
NPI Number
1538158043
Provider Name
Sanjay M Mallya
Credential
BDS
Provider Entity Type
Individual
Gender
Male
Address
10833 Le Conte Ave, Los Angeles, CA, 90095-1668
Phone Number
310-825-5634
Fax Number
310-206-2748
Provider Enumeration Date
10/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004010807 05 CT
institution
Provider Business Practice Location Address Details
Address
10833 Le Conte Ave
City
State
Zip
90095-1668
Phone Number
310-825-5634
Fax Number
310-206-2748
person
Provider Business Mailing Address Details
Address
P.o. Box 951668
City
State
Zip
90095-1668
Phone Number
860-679-2453
Fax Number
860-679-2756
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Radiology
Taxonomy
License No.
9026 (Connecticut)
Definition
The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region.
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