Organization
MANHIANI DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANINDER MARLINA MANHIANI DMD (OWNER DENTIST)
(706) 564-5497
Entity
Organization
Contact information
Practice address
3830 WASHINGTON RD STE 9, MARTINEZ, GA 30907-5070
(706) 564-5497
Mailing address
3830 WASHINGTON RD STE 9, MARTINEZ, GA 30907-5070
(706) 564-5497
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015526
GA
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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