Organization
LARRY E. MANALO DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY E MANALO II DMD (DENTIST/OWNER)
(412) 221-2221
Entity
Organization
Contact information
Practice address
1580 MCLAUGHLIN RUN RD STE 118, PITTSBURGH, PA 15241-3100
(412) 221-2221
Mailing address
1580 MCLAUGHLIN RUN RD STE 118, PITTSBURGH, PA 15241-3100
(412) 221-2221
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS027433L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012991250008
—
PA
Enumeration date
03/18/2008
Last updated
11/22/2013
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