Individual
RICHARD ISAAC MANWARING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1186 EASTLAND DR N, SUITE B, TWIN FALLS, ID 83301-8973
(208) 733-9331
(208) 732-1222
Mailing address
1186 EASTLAND DR N, SUITE B, TWIN FALLS, ID 83301-8973
(208) 733-9331
(208) 732-1222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
117778
AK
1223P0221X
Pediatric Dentistry
Primary
D-4666-PD
ID
Other
Enumeration date
06/29/2009
Last updated
01/30/2018
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