Individual
GARY R MANASSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., P.A.
Contact information
Practice address
8708 PERIMETER PARK BLVD., #3, JACKSONVILLE, FL 32216
(904) 646-1414
(904) 646-1454
Mailing address
8708 PERIMETER PARK BLVD., #3, JACKSONVILLE, FL 32216
(904) 646-1414
(904) 646-1454
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN13435
FL
Other
Enumeration date
03/27/2013
Last updated
03/29/2013
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