Provider Demographics
NPI:1619012259
Name:H S MANN DDS INC
Entity Type:Organization
Organization Name:H S MANN DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:DR
Authorized Official - First Name:HARJIT
Authorized Official - Middle Name:S
Authorized Official - Last Name:MANN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:559-875-7980
Mailing Address - Street 1:PO BOX 38
Mailing Address - Street 2:
Mailing Address - City:SANGER
Mailing Address - State:CA
Mailing Address - Zip Code:93657-0038
Mailing Address - Country:US
Mailing Address - Phone:559-875-7980
Mailing Address - Fax:559-875-7981
Practice Address - Street 1:2514 JENSEN AVE
Practice Address - Street 2:101
Practice Address - City:SANGER
Practice Address - State:CA
Practice Address - Zip Code:93657-2250
Practice Address - Country:US
Practice Address - Phone:559-875-7980
Practice Address - Fax:559-875-7981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46883122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty