Individual
VICTOR M MANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
23051 KINGWOOD PLACE DR, BLDG A, STE 100, KINGWOOD, TX 77339
(281) 358-2997
(281) 358-5632
Mailing address
23051 KINGWOOD PLACE DR, BLDG A, STE 100, KINGWOOD, TX 77339
(281) 358-2997
(281) 358-5632
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
16440
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
16440
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16440
LICENSE NUMBER
TX
Enumeration date
08/30/2006
Last updated
04/03/2020
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