Individual
DR. TYRA MANSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
31 VALLEY RD, 2ND FLOOR, MONTCLAIR, NJ 07042-2708
(973) 771-5387
Mailing address
31 VALLEY RD, 2ND FLOOR, MONTCLAIR, NJ 07042-2708
(973) 771-5387
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
0539911
NY
1223P0221X
Pediatric Dentistry
Primary
22DI023814
NJ
Other
Enumeration date
07/29/2008
Last updated
06/02/2016
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