| NPI | 1710634670 |
|---|---|
| Doing Business As | MANITO FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KELLY A HENNESSEY Dentist/Owner 509-714-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2022-03-09 |