Manor Total Dental and Orthodontics Pllc

NPI #1215591391 in Manor, Texas

Provider Information

NPI Number: 1215591391
Entity Type: Organization
Organization Name: Manor Total Dental and Orthodontics Pllc
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Apr 24, 2019
Last Updated: Apr 24, 2019

Practice Location

Address: 11828 RING DR. STE 102
City: Manor
State: Texas
ZIP Code: 78653
Phone: (512) 649-3339

Authorized Official

Name: FAITH GASKINS
Title: DIRECTOR OF CREDENTIALING
Phone: (972) 869-3789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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