Individual
ROBERT J MANZANARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
232 PASEO DE ONATE, ESPANOLA, NM 87532
(505) 753-7246
(505) 753-4359
Mailing address
232 PASEO DE ONATE, ESPANOLA, NM 87532
(505) 753-7246
(505) 753-4359
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1358
NM
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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