Individual
BARRY MANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
821 W BENFIELD RD, SUITE 6, SEVERNA PARK, MD 21146-2220
(410) 987-3204
Mailing address
210 WINDRUSH FARM LN, SEVERNA PARK, MD 21146-4312
(410) 647-1962
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9144
MD
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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