Provider Demographics
NPI:1093730822
Name:MANCHEVA, ZANKA DIMITROVA (DDS)
Entity Type:Individual
Prefix:
First Name:ZANKA
Middle Name:DIMITROVA
Last Name:MANCHEVA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1534 ENCINITAS BLVD
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-2932
Mailing Address - Country:US
Mailing Address - Phone:760-944-0453
Mailing Address - Fax:760-944-0581
Practice Address - Street 1:1534 ENCINITAS BLVD
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-2932
Practice Address - Country:US
Practice Address - Phone:760-944-0453
Practice Address - Fax:760-944-0581
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA423591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice