Provider Demographics
NPI:1134188576
Name:MALAVE, DAVID VENTURA (DMD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:VENTURA
Last Name:MALAVE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1202 EAST SONTERRA BLVD
Mailing Address - Street 2:SUITE 801
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258
Mailing Address - Country:US
Mailing Address - Phone:210-494-2005
Mailing Address - Fax:210-916-4453
Practice Address - Street 1:1202 EAST SONTERRA BLVD
Practice Address - Street 2:SUITE 801
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258
Practice Address - Country:US
Practice Address - Phone:210-494-2005
Practice Address - Fax:210-916-4453
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX221401223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery