Individual
NICHOLAS MANIATIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(508) 688-0749
Mailing address
1959 NE PACIFIC STREET BOX 357134, SEATTLE, WA 98195-0001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DR61158552
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/15/2021
Last updated
07/01/2021
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