Individual
DR. MARC PERICLES MANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2101 MARKET ST, PHILADELPHIA, PA 19103-1333
(267) 225-6049
Mailing address
2101 MARKET ST, PHILADELPHIA, PA 19103-1333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019030327
IL
1223G0001X
General Practice Dentistry
1001106-15
WI
1223G0001X
General Practice Dentistry
Primary
DS040468
PA
Other
Enumeration date
06/17/2015
Last updated
02/12/2016
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