NPI 1508097700

Percival Magpusao Manzano, DDM

Practitioner Denturist Vacaville, CA

Practice location

Address: 3000 Alamo Dr STE 108, Vacaville, CA 95687-6345
Phone: (170) 746-9852

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence 18901 (CA)

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Registry record

NPI: 1508097700
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Aug 2009
Record last updated: 5 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.