| Enamel Dentistry Manor, Pllc | |
|
14008 Shadowglen Blvd Ste 203 Manor TX 78653-3406 | |
| (512) 982-1272 | |
| (512) 982-1282 |
| Full Name | Enamel Dentistry Manor, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14008 Shadowglen Blvd Ste 203, Manor, Texas |
| Authorized Official Name and Position | Hardik Chodavadia (PARTNER) |
| Authorized Official Contact | 8179886484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enamel Dentistry Manor, Pllc 7013 Vicenza Dr Austin TX 78739-1591 Ph: (817) 988-6484 | Enamel Dentistry Manor, Pllc 14008 Shadowglen Blvd Ste 203 Manor TX 78653-3406 Ph: (512) 982-1272 |
| NPI Number | 1073250817 |
|---|---|
| Provider Enumeration Date | 05/13/2022 |
| Last Update Date | 05/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073250817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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