Individual
AILEEN MANZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
3000 ALAMO DR STE 108, VACAVILLE, CA 95687-6345
(707) 469-8523
Mailing address
3909 GLACIER CT, VALLEJO, CA 94591-6333
(707) 552-7708
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
45731
CA
Other
Enumeration date
07/12/2006
Last updated
06/14/2021
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