Individual
DR. STAMATIOS GEORGE MANOLAKAS DENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
30 N. 1900 E., RM. 5R-110, UNIVERSITY OF UTAH DEPT. OF PSYCHIATRY, SALT LAKE CITY, UT 84132-2502
(801) 581-4096
Mailing address
3030 LATHAM DR, SACRAMENTO, CA 95864-5646
(510) 219-7686
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
8405889-1205
UT
Other
Enumeration date
04/06/2011
Last updated
10/20/2021
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