Individual
ALLISON LAYNE MANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2000 N GAINES DR, CLINTON, MO 64735-1132
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2015016746
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326426172
—
MO
Enumeration date
05/13/2015
Last updated
01/08/2020
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