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NPI Code Detail

MEDICARE: DR. KYLE MATTHEW MALONEY DDS

MEDICARE:  DR. KYLE MATTHEW MALONEY  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry109601CA

General Provider Information

NPI Number : 1649042763
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KYLE MATTHEW MALONEY DDS
Provider Business Mailing Address
First Line : 16837 TULSA ST
Second Line :
City : GRANADA HILLS
State : CA
Zip : 91344-5039
Country : US
Telephone Number : 614-746-4423
Fax Number :
Provider Business Practice Location Address
First Line : 16837 TULSA ST
Second Line :
City : GRANADA HILLS
State : CA
Zip : 91344-5039
Country : US
Telephone Number : 614-746-4423
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2023
Last Update Date : 11/07/2023

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Directions to “ DR. KYLE MATTHEW MALONEY DDS” Practice Location

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