MEDICARE: H S MANN DDS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	46883	CA

General Provider Information

NPI Number	:	1619012259
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	H S MANN DDS INC

Provider Business Mailing Address
First Line	:	PO BOX 38
Second Line	:
City	:	SANGER
State	:	CA
Zip	:	93657-0038
Country	:	US
Telephone Number	:	559-875-7980
Fax Number	:	559-875-7981

Provider Business Practice Location Address
First Line	:	2514 JENSEN AVE
Second Line	:	101
City	:	SANGER
State	:	CA
Zip	:	93657-2250
Country	:	US
Telephone Number	:	559-875-7980
Fax Number	:	559-875-7981

Authorized Official
Title or Position	:	DR
Name	:	DR. HARJIT S MANN
Credential	:	DDS
Telephone Number	:	559-875-7980

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	03/20/2008

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