Organization
MANOR PEDIATRIC DENTAL ASSOCIATES PA
Active
Other names
Manor Kids Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DON HARTSFIELD DDS (PRESIDENT)
(512) 417-9101
Entity
Organization
Contact information
Practice address
13419 US HIGHWAY 290 E, BLDG 9, MANOR, TX 78653-4589
(512) 417-9101
Mailing address
8900 LONE TREE DR, MANOR, TX 78653-4843
(512) 417-9101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
05/18/2012
Last updated
05/18/2012
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