| Dnk Victoria Pllc | |
|
7002 Ne Zac Lentz Pkwy Victoria TX 77904-3450 | |
| (361) 573-7464 | |
| Not Available |
| Full Name | Dnk Victoria Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7002 Ne Zac Lentz Pkwy, Victoria, Texas |
| Authorized Official Name and Position | Nieku Manshadi (OWNER) |
| Authorized Official Contact | 5129688408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dnk Victoria Pllc 5656 Bee Cave Rd Ste B104 West Lake Hills TX 78746-5281 Ph: (361) 573-7464 | Dnk Victoria Pllc 7002 Ne Zac Lentz Pkwy Victoria TX 77904-3450 Ph: (361) 573-7464 |
| NPI Number | 1043559198 |
|---|---|
| Provider Enumeration Date | 02/10/2013 |
| Last Update Date | 02/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043559198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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