# ESSENTIAL DENTAL MANOR PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Essential Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700683471
- **Authorized official:** DR. VU QUACH DMD (OWNER/MEMBER)
- **Authorized official phone:** (512) 298-6103

## Contact information

- **Practice address:** 10140 E US 290 HWY, UNIT 110, MANOR, TX 78653
- **Practice address phone:** (512) 298-6103
- **Mailing address:** 16532 SUMMERY ST, MANOR, TX 78653-5455
- **Mailing address phone:** (616) 990-3555

## Taxonomy

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

## Other

- **Enumeration date:** 02/28/2025
- **Last updated:** 02/28/2025