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Organization
MANUEL E.MACIAS DDS, A PROFESSIONAL CORP
Active
Organization
MANUEL E.MACIAS DDS, A PROFESSIONAL CORP
Active
Other names
Manny E.Macias, DDS,INC.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL EUGENIO MACIAS DDS (PRESIDENT)
(818) 846-2266
Entity
Organization
Contact information
Practice address
2200 W OLIVE AVE, BURBANK, CA 91506-2626
(818) 846-2266
(818) 846-2539
Mailing address
2200 W OLIVE AVE, BURBANK, CA 91506-2626
(818) 846-2266
(818) 846-2539
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32351
CA
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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