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Individual

DR. JESSE W. MANTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
155 5TH ST, SAN FRANCISCO, CA 94103-2919
(415) 929-6690
(415) 749-3305
Mailing address
155 5TH ST, SAN FRANCISCO, CA 94103-2919
(415) 929-6690
(415) 749-3305

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
30.025706
OH
1223D0004X
Dental Anesthesiology
30.025706
OH
1223D0004X
Dental Anesthesiology
30.25706
OH
1223D0004X
Dental Anesthesiology
Primary
CA64852
CA

Other

Enumeration date
03/21/2014
Last updated
10/01/2020
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