Most Relevant Information
Provider Data
| NPI Number: | 1003654740 |
| Provider Name: | MATTHEW MANLEY DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 14033248-9926 |
Most Important Dates
| Enumeration Date: | 07/17/2024 |
| Last Updated: | 07/17/2024 |
Provider Practice Location
COMMANDING OFFICER, NAVAL MEDICAL CENTER
100 BREWSTER BLVD
CAMP LEJEUNE
NC
28547
Practice Location Phone/Fax
| Phone: | 9104512208 |
| Fax: |
Provider Mailing Location
COMMANDING OFFICER, NAVAL MEDICAL CENTER
100 BREWSTER BLVD
CAMP LEJEUNE
NC
28547
Provider Mailing Phone/Fax
| Phone: | 9104512208 |
| Fax: |