Organization
DANIEL B MANLEY DMD PSC
Active
Other names
Business Title
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL BRUCE MANLEY DMD (DMD PSC)
(859) 498-2356
Entity
Organization
Contact information
Practice address
1107 C INDIAN MOUND DRIVE, SUITE C, MT STERLING, KY 40353
(859) 498-2356
(859) 498-2413
Mailing address
1107 C INDIAN MOUND DRIVE, SUITE C, MT STERLING, KY 40353
(859) 498-2356
(859) 498-2413
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5357
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4500368800
—
KY
05
—
60053576
—
KY
Enumeration date
11/28/2006
Last updated
06/17/2008
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