Individual
DR. THOMAS BLAKE MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6031 JONES CREEK RD, BATON ROUGE, LA 70817-3014
(225) 256-1163
Mailing address
938 RUE DESIREE, BATON ROUGE, LA 70810-4567
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7321
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2022
Last updated
10/13/2023
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