Individual
DR. JUAN OMAR MANCERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1301 PEACHERS MILL RD, CLARKSVILLE, TN 37042-4610
(931) 572-9152
Mailing address
1301 PEACHERS MILL RD, CLARKSVILLE, TN 37042-4610
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10119
TN
Other
Enumeration date
07/06/2015
Last updated
07/06/2015
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