Individual
DR. CHRISTOPHER SCOTT MANIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3003 W MAIN ST STE 130, BOISE, ID 83702-2026
(208) 342-7610
Mailing address
3003 W MAIN ST STE 130, BOISE, ID 83702-2026
(208) 342-7610
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D-5495
ID
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
D-OS-5495
ID
Other
Enumeration date
03/22/2016
Last updated
11/19/2025
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