Individual
DR. JOHANNA KAY MANOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9305 CALUMET AVE, SUITE D1, MUNSTER, IN 46321-2887
(219) 836-2041
(219) 836-2410
Mailing address
9305 CALUMET AVE, SUITE D1, MUNSTER, IN 46321-2887
(219) 836-2041
(219) 836-2410
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009079
IN
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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