Lea Lenmara Manosov

NPI 1225169683 - Dentist - 1223G0001X

NPI Details
NPI 1225169683
Enumeration Date 03/08/2007
Last Updated 01/22/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LEA LENMARA LEA
Position OWNER
Phone (209) 571-9855
Fax (209) 571-9874
Practice Location
2020 COFFEE RD STE E
MODESTO CA, 95355-2427, US
Phone (209) 571-9855
Fax (209) 571-9874
Business Location
2020 COFFEE RD STE E
MODESTO CA, 95355-2427, US
Phone (209) 571-9855
Fax (209) 571-9874
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 48326
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According to our database, Lea Lenmara Manosov NPI is 1225169683, taxonomy code is 1223G0001X and license number is 48326, license state is located at California. Lea Lenmara Manosov physically located at 2020 Coffee Rd Ste E, Modesto CA, 95355-2427. NPI Number 1033115704 has the healthcare provider type.

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1225169683 NPI number is provided on an as is basis without warranty of any kind. 1225169683 is maintained by the National Plan & Provider Enumeration System. The contents of Lea Lenmara Manosov are for informational purposes only.