Organization
GARY R MANASSE DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY R MANASSE DMD (OWNER)
(904) 646-1414
Entity
Organization
Contact information
Practice address
8708 PERIMETER PARK BLVD, #3, JACKSONVILLE, FL 32216
(904) 646-1414
(904) 646-1454
Mailing address
8708 PERIMETER PARK BLVD, #3, JACKSONVILLE, FL 32216
(904) 646-1414
(904) 646-1454
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN13435
FL
Other
Enumeration date
09/21/2006
Last updated
08/22/2020
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