Individual
MATTHEW JAMES MANZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
62 QUEENSBERRY ST, #107, BOSTON, MA 02215-5180
(617) 817-8242
Mailing address
62 QUEENSBERRY ST, #107, BOSTON, MA 02215-5180
(617) 817-8242
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1857338
MA
Other
Enumeration date
04/11/2016
Last updated
07/22/2016
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