Individual
MICHAEL MANCHANG SIEW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
10175 GATEWAY BLVD W STE 304, EL PASO, TX 79925-2203
(915) 504-6880
(915) 599-8579
Mailing address
10175 GATEWAY BLVD W STE 304, EL PASO, TX 79925-2203
(915) 504-6880
(915) 599-8579
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
37666
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
37666
TX
Other
Enumeration date
05/22/2017
Last updated
08/06/2024
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