Provider Demographics
NPI:1841405438
Name:MANISCK, CLAUDIA (DDS)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:MANISCK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8102 BEVERLYHILL ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-6146
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1900 SAINT JAMES PL
Practice Address - Street 2:SUITE 680
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-4129
Practice Address - Country:US
Practice Address - Phone:713-552-0777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18182122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist