| Manalese Dental | |
|
626 S 2nd Ave Covina CA 91723-3517 | |
| (626) 332-0013 | |
| (626) 332-0431 |
| Full Name | Manalese Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 626 S 2nd Ave, Covina, California |
| Authorized Official Name and Position | Jose Joel Manalese (OWNER) |
| Authorized Official Contact | 6263320013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manalese Dental 626 S 2nd Ave Covina CA 91723-3517 Ph: (626) 332-0013 | Manalese Dental 626 S 2nd Ave Covina CA 91723-3517 Ph: (626) 332-0013 |
| NPI Number | 1235447335 |
|---|---|
| Provider Enumeration Date | 09/23/2010 |
| Last Update Date | 06/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235447335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 58729 (California) | Primary |
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