# ROBERT J MANZANARES DDS PC

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

## Provider details

- **NPI number:** 1952491177
- **Authorized official:** MS. NANCY J MANZANARES (OFFICE MANAGER)
- **Authorized official phone:** (505) 753-7246

## Contact information

- **Practice address:** 232 PASEO DE ONATE, ESPANOLA, NM 87532
- **Practice address phone:** (505) 753-7246
- **Practice address fax:** (505) 753-4359
- **Mailing address:** 232 PASEO DE ONATE, ESPANOLA, NM 87532
- **Mailing address phone:** (505) 753-7246
- **Mailing address fax:** (505) 753-4359

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1358 | NM | Yes |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 08/22/2020