Individual
DR. GARY MICHAEL MCMANAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1621 N PLAZA DR, TALLAHASSEE, FL 32308-5335
(850) 878-5186
(850) 942-9429
Mailing address
1621 N PLAZA DR, TALLAHASSEE, FL 32308-5335
(850) 878-5186
(850) 942-9429
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN6222
FL
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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