Individual
MR. GEORGE MANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1900 SOUTH MAIN STREET, SUITE 206, WAKE FOREST, NC 27587
(919) 562-7008
(919) 562-9809
Mailing address
1900 SOUTH MAIN STREET, SUITE 206, WAKE FOREST, NC 27587
(919) 562-7008
(919) 562-9809
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5977
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8995446
—
NC
Enumeration date
08/04/2006
Last updated
07/08/2007
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