Individual
CHARLES ANTHONY MANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
347 PARK AVE, HAMILTON, OH 45013-3051
(513) 737-6442
(513) 737-3501
Mailing address
347 PARK AVE, HAMILTON, OH 45013-3051
(513) 737-6442
(513) 737-3501
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
15638
OH
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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