Organization
JASON L. MANTEY DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON LUKE MANTEY DDS (OWNER)
(269) 986-3782
Entity
Organization
Contact information
Practice address
10680 E CARTER RD, TRAVERSE CITY, MI 49684-5437
(269) 986-3782
Mailing address
10680 E CARTER RD, TRAVERSE CITY, MI 49684-5437
(269) 986-3782
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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