Individual
DR. CHRIS W MANNING III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1194 PACIFIC ST, SUITE 203, SAN LUIS OBISPO, CA 93401-3305
(805) 544-4353
Mailing address
1194 PACIFIC ST, SUITE 203, SAN LUIS OBISPO, CA 93401-3305
(805) 544-4353
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41646
CA
Other
Enumeration date
04/17/2007
Last updated
05/05/2010
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