# ENAMEL DENTISTRY MANOR, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073250817
- **Authorized official:** HARDIK CHODAVADIA DDS (PARTNER)
- **Authorized official phone:** (817) 988-6484

## Contact information

- **Practice address:** 14008 SHADOWGLEN BLVD STE 203, MANOR, TX 78653-3406
- **Practice address phone:** (512) 982-1272
- **Practice address fax:** (512) 982-1282
- **Mailing address:** 7013 VICENZA DR, AUSTIN, TX 78739-1591
- **Mailing address phone:** (817) 988-6484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/13/2022
- **Last updated:** 05/13/2022