# HUGO MANRIQUE DMD PLLC

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

## Provider details

- **NPI number:** 1730878042
- **Authorized official:** DR. HUGO EDUARDO MANRIQUE PAZ DMD (OWNER)
- **Authorized official phone:** (443) 974-6275

## Contact information

- **Practice address:** 6200 WILSON BLVD STE 114, FALLS CHURCH, VA 22044-3209
- **Practice address phone:** (703) 534-9160
- **Mailing address:** 6200 WILSON BLVD STE 114, FALLS CHURCH, VA 22044-3209
- **Mailing address phone:** (703) 534-9160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/03/2023
- **Last updated:** 05/03/2023
