Nanda K Manogaran, DDS Valid NPI
Individual provider · General Practice Dentistry · Marysville, WA
- NPI
- 1215000971
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- DE00008867 (WA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-11-17
- Last updated
- 2017-09-22
Practice location
16410 Twin Lakes Ave Ste J107
Marysville, WA 98271-4727
(360) 652-0800