Individual
DR. JEFFREY MICHAEL MANZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 821-7231
(570) 819-5168
Mailing address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 821-7231
(570) 819-5168
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS027058L
PA
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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