Individual
MISS JUDITH LEE MANEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, EFDA
Contact information
Practice address
3456 MAYFIELD RD, CLEVELAND, OH 44118-1405
(440) 442-3800
(440) 442-3800
Mailing address
1147 E 174TH ST, CLEVELAND, OH 44119-3107
(216) 383-1737
(216) 383-1737
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3388
OH
124Q00000X
Dental Hygienist
4404
TX
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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