Organization
DNK VICTORIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIEKU MANSHADI DDS (OWNER)
(512) 968-8408
Entity
Organization
Contact information
Practice address
7002 NE ZAC LENTZ PKWY, VICTORIA, TX 77904-3450
(361) 573-7464
Mailing address
5656 BEE CAVE RD STE B104, WEST LAKE HILLS, TX 78746-5281
(361) 573-7464
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/10/2013
Last updated
02/10/2013
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