Organization
MCMANUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE MARIE MCMANUS D.D.S., M.S. (OWNER/ORTHODONTIST)
(563) 210-4531
Entity
Organization
Contact information
Practice address
2334 31ST AVE, ROCK ISLAND, IL 61201-6248
(309) 558-0075
Mailing address
2804 24TH ST, UNIT #1, ROCK ISLAND, IL 61201-5360
(563) 210-4531
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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