Mancera, Juan Omar

Mancera, Juan Omar is an individual health care provider with primary practice located at 1301 Peachers Mill Rd , Clarksville TN 37042-4610. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mancera, Juan Omar can be contacted via phone (931) 572-9152.

Contact Information

Primary practice address
1301 Peachers Mill Rd Clarksville TN 37042-4610
Phone: (931) 572-9152
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 10119 Tennessee

Profile Details

NPI number 1871976118
LBN Legal business name Mancera, Juan Omar
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2015
Last updated Jul 6th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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