Individual
DR. CESAR A MANRIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
482 W SAN YSIDRO BLVD # 1985, SAN YSIDRO, CA 92173-2444
(011) 526-6468
Mailing address
482 W SAN YSIDRO BLVD # 1985, SAN YSIDRO, CA 92173-2444
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4964056
ZZ
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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