# NICHOLAS MANIATIS DMD PLLC

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

## Provider details

- **NPI number:** 1891574521
- **Authorized official:** DR. NICHOLAS MANIATIS DMD (EXECUTOR)
- **Authorized official phone:** (508) 688-0749

## Contact information

- **Practice address:** 4722 RAINIER AVE S UNIT 340, SEATTLE, WA 98118-2088
- **Practice address phone:** (508) 688-0749
- **Mailing address:** 4722 RAINIER AVE S UNIT 340, SEATTLE, WA 98118-2088
- **Mailing address phone:** (508) 688-0749

## Taxonomy

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

## Other

- **Enumeration date:** 09/22/2023
- **Last updated:** 09/22/2023