Individual
DR. CHARLIE DALLAS MANNING IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1056 MCARTHUR ST, MANCHESTER, TN 37355-2454
(931) 728-4143
(931) 728-8209
Mailing address
1056 MCARTHUR ST, MANCHESTER, TN 37355-2454
(931) 728-4143
(931) 728-8209
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9694
TN
Other
Enumeration date
06/28/2013
Last updated
06/28/2013
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