Individual
DR. BRIAN MANNARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
6540 4TH ST N, STE A, ST PETERSBURG, FL 33702-6822
(727) 525-0155
Mailing address
9011 BRIARWOOD DR, SEMINOLE, FL 33772-2810
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN 21138
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2013
Last updated
06/23/2015
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