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Individual

ALFREDO MANALO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D

Contact information

Practice address
5615 ROUTE 8, GIBSONIA, PA 15044-9553
(724) 444-4777
(724) 444-5770
Mailing address
1271 MERIDIAN DR, PRESTO, PA 15142-1033
(724) 444-4777

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS025542L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0010767560013
DPA ID
PA
05
0010767560029
PA
05
0010767560038
PA
05
2264428
OH
Enumeration date
11/22/2005
Last updated
08/16/2019
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