DR. Tyra Manso, DDS
NPI #1467618512 in Montclair, New Jersey
Provider Information
- NPI Number
- 1467618512
- Entity Type
- Individual
- Name
- DR. Tyra Manso, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Pediatric Dentistry
- Credential
- DDS
- Enumeration Date
- Jul 29, 2008
- Last Updated
- Jun 2, 2016
Practice Location
- Address
- 31 VALLEY RD
- Address 2
- 2ND FLOOR
- City
- Montclair
- State
- New Jersey
- ZIP Code
- 07042-2708
- Phone
- (973) 771-5387
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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