Individual
DR. ANGELO BERNARDO MANIEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
508 GIBSON DR STE 100, ROSEVILLE, CA 95678-5795
(916) 772-6777
Mailing address
508 GIBSON DR STE 100, ROSEVILLE, CA 95678-5795
(916) 772-6777
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
108966
CA
1223G0001X
General Practice Dentistry
Primary
108966
CA
Other
Enumeration date
10/18/2023
Last updated
10/19/2023
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