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11300 Hwy 290 E Bldg 2, Suite 200 Manor TX 78653 | |
| (702) 285-7969 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 11300 Hwy 290 E, Manor, Texas |
| Authorized Official Name and Position | Lizania Montero (MEMBER) |
| Authorized Official Contact | 7022857969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11300 Hwy 290 E Bldg 2, Suite 200 Manor TX 78653 Ph: (702) 285-7969 | 11300 Hwy 290 E Bldg 2, Suite 200 Manor TX 78653 Ph: (702) 285-7969 |
| NPI Number | 1588010839 |
|---|---|
| Provider Enumeration Date | 05/05/2016 |
| Last Update Date | 05/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588010839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 28823 (Texas) | Primary |
Enamel Dentistry Manor, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14008 Shadowglen Blvd Ste 203, Manor, TX 78653 Phone: 512-982-1272 Fax: 512-982-1282 | |
Future Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 Caldwell St, Bldg. A, Ste. 300, Manor, TX 78653 Phone: 512-272-8900 Fax: 512-272-8915 | |