Individual
DR. MANISH VALIATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MDS DDS MSD
Contact information
Practice address
8600 ALEXANDRIA DRIVE, SUITE B, MACEDONIA, OH 44056
(330) 467-2763
(330) 467-2768
Mailing address
8600 ALEXANDRIA DRIVE, SUITE B, MACEDONIA, OH 44056
(330) 467-2763
(330) 467-2768
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30-20-1785
OH
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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