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Organization

MARY SCHILLING MCMANIS, DDS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARY SCHILLING MCMANIS D.D.S. (DENTIST)
(319) 752-8142
Entity
Organization

Contact information

Practice address
1727 DEER RUN DR, BURLINGTON, IA 52601-2169
(319) 752-8142
(319) 752-4756
Mailing address
11289 CLIFF ACRES DR, BURLINGTON, IA 52601-2413
(319) 752-8142
(319) 752-4756

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
6466
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1821162371
IA
Enumeration date
04/13/2011
Last updated
03/21/2012
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