Organization
LLS PLLC
Active
Other names
Manor Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIZANIA MONTERO DMD (MEMBER)
(702) 285-7969
Entity
Organization
Contact information
Practice address
11300 HWY 290 E, BLDG 2, SUITE 200, MANOR, TX 78653
(702) 285-7969
Mailing address
11300 HWY 290 E, BLDG 2, SUITE 200, MANOR, TX 78653
(702) 285-7969
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
28823
TX
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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