| Larry E. Manalo Dmd | |
|
1580 Mclaughlin Run Rd Ste 118 Pittsburgh PA 15241-3100 | |
| (412) 221-2221 | |
| Not Available |
| Full Name | Larry E. Manalo Dmd |
|---|---|
| Speciality | Dentist |
| Location | 1580 Mclaughlin Run Rd Ste 118, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Larry E Manalo (DENTIST/OWNER) |
| Authorized Official Contact | 4122212221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry E. Manalo Dmd 1580 Mclaughlin Run Rd Ste 118 Pittsburgh PA 15241-3100 Ph: (412) 221-2221 | Larry E. Manalo Dmd 1580 Mclaughlin Run Rd Ste 118 Pittsburgh PA 15241-3100 Ph: (412) 221-2221 |
| NPI Number | 1174794051 |
|---|---|
| Provider Enumeration Date | 03/18/2008 |
| Last Update Date | 11/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174794051 | NPI | - | NPPES |
| 0012991250008 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS027433L (Pennsylvania) | Primary |
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