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Organization
MANESE DENTAL INC
Active
Organization
MANESE DENTAL INC
Active
Other names
Trinity Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIZA M MANESE DMD (CEO/OWNER)
(909) 598-8820
Entity
Organization
Contact information
Practice address
19665 VALLEY BLVD, WALNUT, CA 91789-2125
(909) 598-8820
Mailing address
19665 VALLEY BLVD, WALNUT, CA 91789-2125
(909) 598-8820
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
35148
CA
1223G0001X
General Practice Dentistry
40669
CA
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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