Individual
NANDA K MANOGARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16410 TWIN LAKES AVE STE J107, MARYSVILLE, WA 98271-4727
(360) 652-0800
(360) 652-0844
Mailing address
16410 TWIN LAKES AVE STE J107, MARYSVILLE, WA 98271-4727
(360) 652-0800
(360) 652-0844
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00008867
WA
Other
Enumeration date
11/17/2006
Last updated
09/22/2017
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