Individual
POUYAN MAANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
933 N CHARLOTTE ST, SUITE 2D, POTTSTOWN, PA 19464-3974
(610) 326-8785
Mailing address
2 LOCUST WAY, LAFAYETTE HILL, PA 19444-2435
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS037065
PA
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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