Individual
DANIEL MANOLOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LD
Contact information
Practice address
2381 NE CONNERS AVE, BEND, OR 97701-6068
(541) 678-6262
Mailing address
PO BOX 11470, EUGENE, OR 97440-3670
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN61047610
WA
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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