Individual
DR. BERNIE SAMPANG MANASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2463 CALLE AGUADULCE, SAN DIEGO, CA 92139-2238
(760) 220-4885
Mailing address
2463 CALLE AGUADULCE, SAN DIEGO, CA 92139-2238
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401410997
VA
1223G0001X
General Practice Dentistry
Primary
DN012534
GA
Other
Enumeration date
02/23/2006
Last updated
08/14/2019
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