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Organization
FAMILY DENTISTRY MARINA MANOSOV DDS INC
Active
Organization
FAMILY DENTISTRY MARINA MANOSOV DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARINA MANOSOV D.D.S. (OWNER)
(650) 383-5599
Entity
Organization
Contact information
Practice address
4646 EL CAMINO REAL, LOS ALTOS, CA 94022-1329
(650) 383-5599
Mailing address
4646 EL CAMINO REAL, LOS ALTOS, CA 94022-1329
(650) 383-5599
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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