| Manzanita Kids Dentistry & Orthodontics | |
|
11800 Dessau Rd Suite 203 Austin TX 78754-2154 | |
| (210) 884-5750 | |
| Not Available |
| Full Name | Manzanita Kids Dentistry & Orthodontics |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 11800 Dessau Rd, Austin, Texas |
| Authorized Official Name and Position | Gloria Yanez (PEDIATRIC DENTIST) |
| Authorized Official Contact | 2108845750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manzanita Kids Dentistry & Orthodontics 11800 Dessau Rd Suite 203 Austin TX 78754-2154 Ph: (210) 884-5750 | Manzanita Kids Dentistry & Orthodontics 11800 Dessau Rd Suite 203 Austin TX 78754-2154 Ph: (210) 884-5750 |
| NPI Number | 1104209535 |
|---|---|
| Provider Enumeration Date | 07/02/2015 |
| Last Update Date | 07/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104209535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 21450 (Texas) | Primary |
Jared Poplin D.m.d., Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6850 Austin Center Blvd Ste 220, Austin, TX 78731 Phone: 785-691-6171 | |
Ac Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13616 N Highway 183, Austin, TX 78750 Phone: 512-682-5437 | |