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Organization
MANALESE DENTAL CORPORATION
Active
Organization
MANALESE DENTAL CORPORATION
Active
Other names
MANALESE DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE JOEL MANALESE DDS (OWNER)
(626) 332-0013
Entity
Organization
Contact information
Practice address
626 S 2ND AVE, COVINA, CA 91723-3517
(626) 332-0013
(626) 332-0431
Mailing address
626 S 2ND AVE, COVINA, CA 91723-3517
(626) 332-0013
(626) 332-0431
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
58729
CA
Other
Enumeration date
09/23/2010
Last updated
06/26/2015
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