| Raymond D.manniello,d.d.s.,p.c. | |
|
264 N Main St Suite 4 East Longmeadow MA 01028-1815 | |
| (413) 525-0861 | |
| Not Available |
| Full Name | Raymond D.manniello,d.d.s.,p.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 264 N Main St, East Longmeadow, Massachusetts |
| Authorized Official Name and Position | Raymond Manniello (PRESIDENT) |
| Authorized Official Contact | 4135250861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raymond D.manniello,d.d.s.,p.c. 264 N Main St Suite 4 East Longmeadow MA 01028-1815 Ph: () - | Raymond D.manniello,d.d.s.,p.c. 264 N Main St Suite 4 East Longmeadow MA 01028-1815 Ph: (413) 525-0861 |
| NPI Number | 1023234150 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023234150 | NPI | - | NPPES |
| MA18081 | Other | MA | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | MA18081 (Massachusetts) | Primary |
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