Individual
ROBERT MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1612 HWY 51 N, WINONA, MS 38967
(662) 283-4525
Mailing address
PO BOX 69, 1612 HWY 51 N, WINONA, MS 38967-0069
(662) 283-4525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
287995
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
287995
LICENCE NUMBER
MS
Enumeration date
03/21/2007
Last updated
07/08/2007
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