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Organization
MANALICORP, PLLC
Active
Organization
MANALICORP, PLLC
Active
Other names
Dental Illusions
Organization subpart
No
Provider details
NPI number
Authorized official
MYCHAEL DUFFY DDS (OFFICE MANAGER)
(713) 528-3362
Entity
Organization
Contact information
Practice address
4101 GREENBRIAR DR STE 220, HOUSTON, TX 77098-5260
(713) 528-3362
(713) 528-4512
Mailing address
4101 GREENBRIAR DR STE 220, HOUSTON, TX 77098-5260
(713) 528-3362
(713) 528-4512
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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