Individual
DR. GEORGE M. MANTIKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
142 E HIGH ST, EAST HAMPTON, CT 06424-1543
(860) 267-6666
(860) 267-1854
Mailing address
142 E HIGH ST, EAST HAMPTON, CT 06424-1543
(860) 267-6666
(860) 267-1854
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN20762
FL
1223G0001X
General Practice Dentistry
Primary
7536
CT
Other
Enumeration date
07/28/2006
Last updated
04/07/2015
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