Individual
DR. MAZEN MANLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2363 COMMERCE BLVD, MOUND, MN 55364-1425
(952) 472-1182
Mailing address
2363 COMMERCE BLVD, MOUND, MN 55364-1425
(952) 472-1182
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D 11855
MN
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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