Individual
MANOLIS G MANOLAKAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1131 BROAD ST, SUITE 109, SHREWSBURY, NJ 07702-4329
(732) 542-0755
(732) 542-7272
Mailing address
1131 BROAD ST, SUITE 109, SHREWSBURY, NJ 07702-4329
(732) 542-0755
(732) 542-7272
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DI02195300
NJ
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
22DIO2195300
NJ
Other
Enumeration date
06/27/2006
Last updated
08/01/2012
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