Individual
DR. JULIUS NICHOLAS MANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4601 COLLEGE BLVD, FARMINGTON, NM 87402-4609
(505) 325-4475
Mailing address
4601 COLLEGE BLVD, FARMINGTON, NM 87402-4609
(505) 325-4475
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2461
NM
Other
Enumeration date
06/27/2005
Last updated
08/18/2008
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