Organization
MANZANITA KIDS DENTISTRY & ORTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORIA YANEZ D.D.S., M.S. (PEDIATRIC DENTIST)
(210) 884-5750
Entity
Organization
Contact information
Practice address
11800 DESSAU RD, SUITE 203, AUSTIN, TX 78754-2154
(210) 884-5750
Mailing address
11800 DESSAU RD STE 203, AUSTIN, TX 78754-2187
(512) 490-1212
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
21450
TX
Other
Enumeration date
07/02/2015
Last updated
06/09/2025
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