# LUBOMIR MANOV DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659439388
- **Authorized official:** DR. LUBOMIR Z MANOV DDS (OWNER)
- **Authorized official phone:** (602) 787-8777

## Contact information

- **Practice address:** 4232 E CACTUS RD, SUITE 212, PHOENIX, AZ 85032-7602
- **Practice address phone:** (602) 787-8777
- **Mailing address:** 2705 E ACOMA DR, PHOENIX, AZ 85032-4930
- **Mailing address phone:** (480) 239-6305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 08/22/2020
