Raymond D.manniello,d.d.s.,p.c.
NPI #1023234150 in East Longmeadow, Massachusetts
Provider Information
- NPI Number
- 1023234150
- Entity Type
- Organization
- Organization Name
- Raymond D.manniello,d.d.s.,p.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 17, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 264 N MAIN ST
- Address 2
- SUITE 4
- City
- East Longmeadow
- State
- Massachusetts
- ZIP Code
- 01028-1815
- Phone
- (413) 525-0861
Authorized Official
- Name
- RAYMOND MANNIELLO
- Title
- PRESIDENT
- Phone
- (413) 525-0861
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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