Individual
DR. PAUL ROBERT MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1286 W FOXWOOD DR, RAYMORE, MO 64083-8300
(816) 322-7668
(816) 322-7672
Mailing address
3351 NE RALPH POWELL RD, LEES SUMMIT, MO 64064-2368
(816) 554-7373
(816) 554-7381
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
014710
MO
Other
Enumeration date
03/06/2007
Last updated
05/07/2009
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