Smiles for Miles, Dental Office of Dr Manosov P.c
NPI #1225169683 in Modesto, California
Provider Information
- NPI Number
- 1225169683
- Entity Type
- Organization
- Organization Name
- Smiles for Miles, Dental Office of Dr Manosov P.c
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 8, 2007
- Last Updated
- Jan 22, 2021
Practice Location
- Address
- 2020 COFFEE RD STE E
- City
- Modesto
- State
- California
- ZIP Code
- 95355-2427
- Phone
- (209) 571-9855
Authorized Official
- Name
- LEA MANOSOV, DDS
- Title
- OWNER
- Phone
- (209) 571-9855
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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