Provider Demographics
NPI:1336481340
Name:GARALA, MANISH (BDS, MS)
Entity Type:Individual
Prefix:DR
First Name:MANISH
Middle Name:
Last Name:GARALA
Suffix:
Gender:M
Credentials:BDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17225 EL CAMINO REAL STE 425
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-2778
Mailing Address - Country:US
Mailing Address - Phone:281-488-3656
Mailing Address - Fax:281-488-0811
Practice Address - Street 1:17225 EL CAMINO REAL STE 425
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-2778
Practice Address - Country:US
Practice Address - Phone:281-488-3656
Practice Address - Fax:281-488-0811
Is Sole Proprietor?:No
Enumeration Date:2013-03-18
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21079122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist