Individual
CELESTE MANESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E NEWTON ST, RM G 612, BOSTON, MA 02118-2308
(617) 638-5209
(617) 414-1061
Mailing address
100 E NEWTON ST, BOSTON, MA 02118-2308
(617) 638-5209
(617) 414-1061
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN16979
MA
1223P0700X
Prosthodontics
DN16979
MA
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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