PERCIVAL MAGPUSAO MANZANO DDM NPI 1508097700

NPI Information

NPI: 1508097700
Provider Name: PERCIVAL MAGPUSAO MANZANO, DDM
Classification: Denturist - 122400000X
Entity Type: Individual
Address:
3000 ALAMO DR STE 108
VACAVILLE, CA
ZIP 95687
Phone: (170) 746-9852
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Percival Magpusao Manzano, DDM is a denturist in Vacaville, CA. The provider is definition to come. Percival Magpusao Manzano, DDM NPI is 1508097700. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3000 ALAMO DR STE 108
VACAVILLE, CA
ZIP 95687-345
Phone: (170) 746-9852

The enumeration date for this NPI number is 8/5/2009 and was last updated on 8/5/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122400000X	Denturist		18901	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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