Percival Manzano, DDM

NPI 1508097700 · on the registry since 2009 · sole proprietor

Practice

Address: 3000 Alamo Dr Ste 108
Vacaville, CA 95687
Phone: (170) 746-9852
Organisation at this address: Prodent Dental Lab
Natalie Yang, Dds, Inc.
Ishaan Talwar, Dds, Inc
C & A Medical Group Corp
Lifepath Healthcare Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: Denturist
122400000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-08-05

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 California