| Manchaca Dental Care | |
|
915 Fm 1626 Manchaca TX 78652 | |
| (512) 282-0625 | |
| (512) 282-6447 |
| Full Name | Manchaca Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 915 Fm 1626, Manchaca, Texas |
| Authorized Official Name and Position | Milton Joseph Otto (OWNER/DENTIST) |
| Authorized Official Contact | 5122820625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manchaca Dental Care Po Box 337 915 Fm 1626 Manchaca TX 78652 Ph: (512) 282-0625 | Manchaca Dental Care 915 Fm 1626 Manchaca TX 78652 Ph: (512) 282-0625 |
| NPI Number | 1831108760 |
|---|---|
| Provider Enumeration Date | 08/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831108760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10342 (Texas) | Primary |