Individual
DR. LOUIS M MANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DDSDS030681L
PA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
MD067834L
PA
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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