Organization
LUBOMIR MANOV DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUBOMIR Z MANOV DDS (OWNER)
(602) 787-8777
Entity
Organization
Contact information
Practice address
4232 E CACTUS RD, SUITE 212, PHOENIX, AZ 85032-7602
(602) 787-8777
Mailing address
2705 E ACOMA DR, PHOENIX, AZ 85032-4930
(480) 239-6305
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/05/2006
Last updated
08/22/2020
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