John Kenneth Gruspe Manalo

NPI #1407649437 in Sahuarita, Arizona

Provider Information

NPI Number
1407649437
Entity Type
Individual
Name
John Kenneth Gruspe Manalo
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Enumeration Date
May 23, 2025
Last Updated
Jun 2, 2025

Practice Location

Address
15920 S RANCHO SAHUARITA BLVD STE 100
State
Arizona
ZIP Code
85629-8013
Phone
(520) 838-0600

Specialties & Taxonomy Codes

Specialty
Dentist

Additional Practice Locations

685 S Pecan Tree Ln

Green Valley, AZ, 85614-5114

(520) 625-1600

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Organizations

Provider Name
Coppermine Dental Studio at Rancho Sahuarita Pllc

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