Herbert C Mantooth, D.D.S.

NPI #1366512113 in Live Oak, Florida

Provider Information

NPI Number
1366512113
Entity Type
Individual
Name
Herbert C Mantooth, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Nov 9, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
602 RAILROAD AVE SE
State
Florida
ZIP Code
32064-3418
Phone
(386) 362-6556

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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