Individual provider · Type 1 NPI

Jessica Marie Reyes Manzano, DDS

Dentist · San Diego, CA

NPI number 1124984612 Active

Practice location

9225 Mira Mesa Blvd Ste 104
San Diego, CA 92126-4810

Call (858) 536-9383 Map

Fax (858) 536-9395

Mailing address

9201 Midbury Ct
San Diego, CA 92126-4837

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	112495 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1124984612

Jessica Marie Reyes Manzano, DDS's National Provider Identifier is 1124984612, issued on Dec 29, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in San Diego, CA. The record was last updated on Dec 29, 2025.