Individual
DR. MANISHA SISODIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4747 N 1ST ST STE 133, FRESNO, CA 93726-0517
(559) 226-7846
Mailing address
4747 N 1ST ST STE 133, FRESNO, CA 93726-0517
(559) 226-7846
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
54809
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
54809
CA
Other
Enumeration date
11/14/2007
Last updated
09/23/2011
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