| Debra Z Mannia P.l.l.c. | |
|
103 S Elm St Three Oaks MI 49128-1123 | |
| (269) 756-5431 | |
| Not Available |
| Full Name | Debra Z Mannia P.l.l.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 103 S Elm St, Three Oaks, Michigan |
| Authorized Official Name and Position | Debra Mannia (DENTIST/OWNER) |
| Authorized Official Contact | 2697565431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Debra Z Mannia P.l.l.c. 103 S Elm St Three Oaks MI 49128-1123 Ph: (269) 756-5431 | Debra Z Mannia P.l.l.c. 103 S Elm St Three Oaks MI 49128-1123 Ph: (269) 756-5431 |
| NPI Number | 1760091805 |
|---|---|
| Provider Enumeration Date | 07/24/2020 |
| Last Update Date | 07/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760091805 | NPI | - | NPPES |
| 1093025942 | Medicaid | MI | |
| 1396956603 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |