| NPI | 1588010839 |
|---|---|
| Doing Business As | MANOR PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LIZANIA MONTERO Member 702-285-7969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 28823) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-05-05 |