Moran Manosov
Moran Manosov is a General Practice Dentistry in Modesto, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
2020 Coffee Rd Ste E1Modesto, CA 95355-2421
Phone: (209) 571-9855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 109599 (CA) |
|---|
Record details
| NPI number | 1972385714 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 17, 2023 |
| Last updated in NPPES | October 17, 2023 |
| Certification date | October 17, 2023 |
| Mailing address | 2619 Aurora Astorga Dr, Tracy, CA 95376-8202 |
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