Michael Mayrina Manalastas in San Jose - Dentist
Michael Mayrina Manalastas - NPI 1114129509
Michael Mayrina Manalastas is a Dentist in San Jose, California. Michael Mayrina Manalastas practices all healthcare services and medical treatments related to Dentist. The NPI Number for Michael Mayrina Manalastas is 1114129509. The last update date is 2007-07-08.
Michael Mayrina Manalastas's current location address is 2542 Berryessa Road, San Jose, California. You can contact this provider via phone number 4089268600 and fax number 4089268612. The mailing address for Michael Mayrina Manalastas is 2542 Berryessa Road, San Jose, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Michael Mayrina Manalastas |
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Address | 2542 Berryessa Road, San Jose, California |
Phone Number | 4089268600 |
Fax Number | 4089268612 |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1114129509 |
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Provider Enumeration Date | 2007-06-05 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2542 Berryessa Road |
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City | San Jose |
State | California (CA) |
Post Code | 95132 |
Phone Number | 4089268600 |
Fax Number | 4089268612 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 44025 |
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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6514 | CA | PACIFIC UNION DENTAL |
Post Comment/ Review Below
What is the unique identifier code issued to Michael Mayrina Manalastas by the Centers for Medicare & Medicaid Services?
The Michael Mayrina Manalastas has been assigned the NPI (National Provider Identifier) 1114129509. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Michael Mayrina Manalastas is physically located?
The Michael Mayrina Manalastas is physically situated at the following address: 2542 Berryessa Road, San Jose, CA, 95132.
What is the Michael Mayrina Manalastas's area of specialization and corresponding taxonomy classification?
The Michael Mayrina Manalastas's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did Michael Mayrina Manalastas receive its 1114129509 assignment from the Centers for Medicare & Medicaid Services?
The Michael Mayrina Manalastas was assigned its 1114129509 on 2007-06-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Michael Mayrina Manalastas most recently updated or revised?
The information pertaining to Michael Mayrina Manalastas, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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