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Contact Information

PERCIVAL M MANZANO, DDM
3000 ALAMO DR STE 108
VACAVILLE, CA95687-6345
 Phone: 170-746-9852
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Denturist

122400000X
Indicates primary specialty

NPI Profile & details for PERCIVAL M MANZANO · (Male)

NPI Number 1508097700
Status Active
Credentials DDM
Entity Individual
Enumeration date 08/05/2009
Last updated 08/05/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 18901
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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