Individual
DR. MANUEL NMN PELAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
USA DENTAC FT STEWART, 351 W. 6TH STREET, FORT STEWART, GA 31314
(912) 767-8305
Mailing address
USA DENTAC FT STEWART, 351 W. 6TH STREET, SUITE 100, FORT STEWART, GA 31314
(912) 767-8305
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS035547
PA
1223P0300X
Periodontics
Primary
DS035547
PA
Other
Enumeration date
03/14/2006
Last updated
03/14/2023
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