Individual
RICHARD L MCMANAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
1600 HOVER ST, SUITE D-1, LONGMONT, CO 80501-2462
(303) 772-7722
Mailing address
1600 HOVER ST, SUITE D-1, LONGMONT, CO 80501-2462
(303) 772-7722
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
82
CO
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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