Dr. Alfred Robert Mann, DDS
Dentist, General Practice in Selden, NY. Individual provider (NPI-1).
NPI number1255415840
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1255415840
- Entity type
- Individual (NPI-1)
- Name
- Dr. Alfred Robert Mann
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 24, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 028797 | NY | Yes |
Practice location
154 Boyle RdSelden, NY 11784-1946
Phone 631-732-3177
Mailing address
154 Boyle RdSelden, NY 11784-1946
Phone 631-732-3177
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