Organization
DEBRA Z MANNIA P.L.L.C.
Active
Other names
Three Oaks Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRA MANNIA DDS (DENTIST/OWNER)
(269) 756-5431
Entity
Organization
Contact information
Practice address
103 S ELM ST, THREE OAKS, MI 49128-1123
(269) 756-5431
Mailing address
103 S ELM ST, THREE OAKS, MI 49128-1123
(269) 756-5431
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093025942
—
MI
05
—
1396956603
—
MI
Enumeration date
07/24/2020
Last updated
07/24/2020
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