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Organization

PETER L MANIS DMD PC

Active
Parent organization
PETER L MANIS DMD PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PETER L MANIS DMD PC
Authorized official
DR. PETER L MANIS DMD (PRES OF CORP)
(978) 374-0863
Entity
Organization

Contact information

Practice address
145 KENOZA AVE, HAVERHILL, MA 01830-4141
(978) 374-0863
(978) 374-0527
Mailing address
145 KENOZA AVE, HAVERHILL, MA 01830-4141
(978) 374-0863
(978) 374-0527

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
MA10293
MA

Other

Enumeration date
12/06/2007
Last updated
12/06/2007
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