NPI | 1174935233 |
---|---|
Doing Business As | CHARLIE D. MANNING, DDS |
Entity Type | Organization |
Authorized Contact | CHARLIE DALLAS MANNING Sole Proprietor 931-728-4143 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TN 9694) |
Enumeration Date | 2014-05-23 |
Last Update Date | 2016-01-21 |