| Family Dentistry Marina Manosov Dds Inc | |
|
4646 El Camino Real Los Altos CA 94022-1329 | |
| (650) 383-5599 | |
| Not Available |
| Full Name | Family Dentistry Marina Manosov Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 4646 El Camino Real, Los Altos, California |
| Authorized Official Name and Position | Marina Manosov (OWNER) |
| Authorized Official Contact | 6503835599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dentistry Marina Manosov Dds Inc 4646 El Camino Real Los Altos CA 94022-1329 Ph: (650) 383-5599 | Family Dentistry Marina Manosov Dds Inc 4646 El Camino Real Los Altos CA 94022-1329 Ph: (650) 383-5599 |
| NPI Number | 1245584218 |
|---|---|
| Provider Enumeration Date | 10/30/2012 |
| Last Update Date | 10/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245584218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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