Provider Demographics
NPI:1487207171
Name:ENAMEL DENTISTRY SALTILLO, PLLC
Entity Type:Organization
Organization Name:ENAMEL DENTISTRY SALTILLO, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARDIK
Authorized Official - Middle Name:
Authorized Official - Last Name:CHODAVADIA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:817-988-6484
Mailing Address - Street 1:3108 E 51ST ST UNIT 1004
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723-0007
Mailing Address - Country:US
Mailing Address - Phone:817-988-6484
Mailing Address - Fax:
Practice Address - Street 1:901 E. 5TH STREET
Practice Address - Street 2:SUITE 170
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78702
Practice Address - Country:US
Practice Address - Phone:512-649-7510
Practice Address - Fax:512-649-5610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-22
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental