| NPI | 1508933813 |
|---|---|
| Professional Name | B MICHAEL MANTHEI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MN 7439) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 21164) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-08 |