Individual
DR. SILVANA LUCIA GONZALEZ MANZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
4301 W WILLIAM CANNON DR, BUILDING E, SUITE 300, AUSTIN, TX 78749-1473
(512) 215-2520
Mailing address
4301 W WILLIAM CANNON DR, BUILDING E, SUITE 300, AUSTIN, TX 78749-1473
(512) 215-2520
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
23810
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
23810
TX
Other
Enumeration date
07/08/2008
Last updated
09/18/2015
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