Individual
DR. MATTHEW MANIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1 WYOMING ST, MIAMI VALLEY HOSPITAL PREMIER HEALTH, DAYTON, OH 45409-2722
(937) 208-3851
Mailing address
5S465 ALLISON LN, NAPERVILLE, IL 60540-3800
(630) 355-3700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019031126
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2016
Last updated
03/13/2025
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