Search › New Jersey › 1223P0221X
Tyra Manso, DDS
NPI 1467618512 · on the registry since 2008 · sole proprietor
Practice
- Address
- 31 Valley Rd
2nd Floor
Montclair, NJ 07042 - Phone
- (973) 771-5387
Registry record
- Primary taxonomy
- 1223P0221X
1223P0221X
- Also registered as
- 1223P0221X
- Licence states on file
- NJ, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-06-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey