MANSKE DENTAL CORPORATION NPI 1801280383

NPI Information

NPI: 1801280383
Provider Name: MANSKE DENTAL CORPORATION

Doing Business As: DR FLOSSY'S STUDIO

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1355 N SIERRA BONITA AVE APT 302
WEST HOLLYWOOD, CA
ZIP 90046
Phone: (424) 354-9336
Get Directions

MANSKE DENTAL CORPORATION is a dental clinic center in West Hollywood, CA. MANSKE DENTAL CORPORATION NPI is 1801280383. The provider is registered as an organization entity type.
The provider Is Doing Business As Dr Flossy's Studio.

The provider's business location address is:

1355 N SIERRA BONITA AVE APT 302
WEST HOLLYWOOD, CA
ZIP 90046-518
Phone: (424) 354-9336
Fax: (424) 322-4781

The provider's authorized official is Jessica Lynn Manske .
The authorized official title is Ceo/owner/dentist and has the following contact phone number (424) 354-9336.

The enumeration date for this NPI number is 3/24/2015 and was last updated on 1/4/2024.

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	261QD0000X	Clinic/Center	Dental	59357	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1083926323	MEDICAID	CALIFORNIA

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: 4/28/2024

NPI Synchronization or Removal

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