HERBERT C MANTOOTH

LIVE OAK, FL
NPI1366512113
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  7454)
Enumeration Date2006-11-09
Last Update Date2007-07-08
Business Address
-- HERBERT C MANTOOTH D.D.S.
602 RAILROAD AVE SE
LIVE OAK, FL 32064-3418
Phone number: 386-362-6556
Mailing Address
-- HERBERT C MANTOOTH D.D.S.
602 RAILROAD AVE SE
LIVE OAK, FL 32064-3418
Phone number: 386-362-6556
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