Individual
DR. MARK NORMAN MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
501 S PRESTON ST, UNIVERSITY OF LOUISVILLE - DEPT OF ENDODONTICS, LOUISVILLE, KY 40202-1701
(502) 852-1318
(502) 852-3333
Mailing address
501 SOUTH PRESTON STREET, UNIVERSITY OF LOUISVILLE - DEPT OF ENDODONTICS, LOUISVILLE, KY 40202-1701
(502) 852-1318
(502) 852-3333
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
IN PROGRESS
KY
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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