DR. Ian Thomas Manfredo, DMD
NPI #1235827791 in North Port, Florida
Provider Information
- NPI Number
- 1235827791
- Entity Type
- Individual
- Name
- DR. Ian Thomas Manfredo, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Apr 24, 2023
- Last Updated
- Sep 20, 2023
Practice Location
- Address
- 5696 TUSCOLA BLVD
- City
- North Port
- State
- Florida
- ZIP Code
- 34287-2738
- Phone
- (941) 257-0726
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Dentist - General Practice — General Practice |
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