Manuel E.macias Dds, a Professional Corp

NPI #1619376787 in Burbank, California

Provider Information

NPI Number: 1619376787
Entity Type: Organization
Organization Name: Manuel E.macias Dds, a Professional Corp
Primary Specialty: Dentist
Enumeration Date: Aug 14, 2014
Last Updated: Aug 14, 2014

Practice Location

Address: 2200 W OLIVE AVE
City: Burbank
State: California
ZIP Code: 91506-2626
Phone: (818) 846-2266

Authorized Official

Name: DR. MANUEL EUGENIO MACIAS, DDS
Title: PRESIDENT
Phone: (818) 846-2266

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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