Organization
ENAMEL DENTISTRY MANOR, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARDIK CHODAVADIA DDS (PARTNER)
(817) 988-6484
Entity
Organization
Contact information
Practice address
14008 SHADOWGLEN BLVD STE 203, MANOR, TX 78653-3406
(512) 982-1272
(512) 982-1282
Mailing address
7013 VICENZA DR, AUSTIN, TX 78739-1591
(817) 988-6484
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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