Individual
ASHWINI MANJUNATHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9 CHANNEL CTR ST, BOSTON, MA 02210-3428
(617) 268-1030
Mailing address
303 THIRD ST # S719, CAMBRIDGE, MA 02142-1156
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN10000920
MA
Other
Enumeration date
05/23/2023
Last updated
11/19/2025
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