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Organization
MANUEL G. DOMANTAYDDS, INC
Active
Organization
MANUEL G. DOMANTAYDDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL G DOMANTAY DDS (PRESIDENT)
(323) 935-2111
Entity
Organization
Contact information
Practice address
6200 WILSHIRE BLVD., STE. 909, LOS ANGELES, CA 90048-5801
(323) 935-2111
Mailing address
6200 WILSHIRE BLVD STE 909, LOS ANGELES, CA 90048-5810
(323) 935-2111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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