Individual
BRIDGET ANN MANISCALCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1000 VALE TERRACE DR, VISTA, CA 92084-5218
(760) 631-5000
Mailing address
1000 VALE TERRACE DR, VISTA, CA 92084-5218
(760) 216-5000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12011097A
IN
1223G0001X
General Practice Dentistry
Primary
60960
CA
1223G0001X
General Practice Dentistry
D7442
AZ
Other
Enumeration date
12/19/2007
Last updated
01/25/2016
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