| NPI | 1285168377 |
|---|---|
| Doing Business As | MANOR TOTAL DENTAL AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | FAITH GASKINS Director Of Credentialing 972-869-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2018-10-23 |