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Individual

DR. MARC MANANGAN SERRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, FACS

Contact information

Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-0178
Mailing address
3010 NARROWS PL, TACOMA, WA 98407-1058

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE 60272622
WA
171000000X
Military Health Care Provider

Other

Enumeration date
08/09/2006
Last updated
04/05/2023
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