Organization
PURE SMILES ORTHODONTICS PLLC
Active
Other names
Pure Smiles Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SILVANA GONZALEZ MANZUR D.D.S., MS (ORTHODONTIST)
(512) 522-5446
Entity
Organization
Contact information
Practice address
4301 W WILLIAM CANNON DR, BUILDING E, SUITE 300, AUSTIN, TX 78749-1473
(512) 522-5446
Mailing address
4301 W WILLIAM CANNON DR, BUILDING E, SUITE 300, AUSTIN, TX 78749-1473
(512) 522-5446
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
23810
TX
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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