Manuel Benjamin Lara-murillo DDS

NPI 1104820646 - Dentist - 122300000X

NPI Details
NPI 1104820646
Gender Male
Enumeration Date 06/13/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
15515 DALTONS DR
JACKSON CA, 95642-9344, US
Phone (209) 223-8460
Fax (209) 223-8464
Business Location
2887 MYOTIS DR
SACRAMENTO CA, 95834-2604, US
Phone (916) 928-6963
Fax
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 44606
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According to our database, Dr. Manuel Benjamin Lara-murillo DDS NPI is 1104820646, taxonomy code is 122300000X and license number is 44606, license state is located at California. Manuel Benjamin Lara-murillo DDS physically located at 15515 Daltons Dr, Jackson CA, 95642-9344. NPI Number Manuel Benjamin Lara-murillo DDS has the Individual type.

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1104820646 NPI number is provided on an as is basis without warranty of any kind. 1104820646 is maintained by the National Plan & Provider Enumeration System. The contents of Manuel Benjamin Lara-murillo DDS are for informational purposes only.