Individual
DR. RENALIE MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
5176
NV
1223G0001X
General Practice Dentistry
55087
CA
1223P0221X
Pediatric Dentistry
5176
NV
1223P0221X
Pediatric Dentistry
Primary
S6-108
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902952070
—
NV
Enumeration date
01/25/2007
Last updated
06/27/2016
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