Individual
ALYSSA MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
92D MEDICAL GROUP, 701 HOSPITAL LOOP SUITE 350, FAIRCHILD AFB, WA 99011
(509) 247-4329
Mailing address
92D MEDICAL GROUP, 701 HOSPITAL LOOP SUITE 350, FAIRCHILD AFB, WA 99011
(509) 247-4329
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN-DEN-LIC11600
MT
Other
Enumeration date
09/26/2016
Last updated
09/07/2023
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