Organization
GARY M MCMANAMA DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY MICHAEL MCMANAMA (PRESIDENT)
(850) 787-5186
Entity
Organization
Contact information
Practice address
1621 N PLAZA DR, TALLAHASSEE, FL 32308
(850) 878-5186
(850) 942-9428
Mailing address
1621 N PLAZA DR, TALLAHASSEE, FL 32308
(850) 878-5186
(850) 942-9428
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN6222
FL
Other
Enumeration date
10/10/2006
Last updated
08/22/2020
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