Individual
DR. CRYSTAL DAWN MANNERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1301 PEACHERS MILL RD, CLARKSVILLE, TN 37042-4610
(931) 572-9152
Mailing address
1301 PEACHERS MILL RD, CLARKSVILLE, TN 37042-4610
(931) 572-9152
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9167
TN
Other
Enumeration date
06/26/2010
Last updated
06/26/2010
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