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Dr. Tyra Manso, DDS
Pediatric Dentist in Montclair, New Jersey
NPI 1467618512

Tyra Manso is a Pediatric Dentist based in Montclair, NJ and is specialized in Pediatric Dentistry. Tyra Manso practices in Montclair, NJ and has the professional credentials of DDS. The NPI Number for Tyra Manso is 1467618512 and holds a License No. 22DI023814 (New Jersey).

The current practice location address for Tyra Manso is 31 Valley Rd, Montclair, NJ and can be reached out via phone at 973-771-5387.

Location: 31 Valley Rd, Montclair, NJ, 07042-2708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467618512
Provider Name
Tyra Manso
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
31 Valley Rd, Montclair, NJ, 07042-2708
Phone Number
973-771-5387
Fax Number
Provider Enumeration Date
07/29/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
31 Valley Rd
City
Montclair
State
New Jersey
Zip
07042-2708
Phone Number
973-771-5387
Fax Number
person
Provider Business Mailing Address Details
Address
31 Valley Rd
City
Montclair
State
New Jersey
Zip
07042-2708
Phone Number
973-771-5387
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
22DI023814 (New Jersey)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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