Dr. Jessica Lynn Manske
Orthodontists Pediatric Dentist
8640 W Third St Suite 202
Los Angeles
, California 90048
Dr. Jessica Lynn Manske
Orthodontists Pediatric Dentist
8640 W Third St Suite 202
Los Angeles
, California 90048
(424) 322-4781
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About
Features
Specialties
- Pediatric Dentist
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Jessica Lynn Manske
- 1355 N Sierra Bonita #302
- West Hollywood, CA
- Zip : 90046
- Fax : (424) 322-4781
- Phone : (424) 322-4780
Second Address
- Dr. Jessica Lynn Manske
- 8640 W Third St Suite 202
- Los Angeles, CA
- Zip : 90048
- Fax : (424) 322-4781
- Phone : (424) 322-4780
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223P0221X | Pediatric Dentist | 59357 | CA |
| Y | 1223X0400X | Orthodontists | 59357 | CA |
National Provider Identifier
| NPI | 1083926323 |
|---|---|
| Provider Name | Dr. Jessica Lynn Manske |
| First Address | West Hollywood, CA 90046 |
| Second Address | Los Angeles, CA 90048 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/07/2010 |
| Last Update Date | 09/09/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.