Individual
DR. RANDY LEE MANELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
541 WABASH AVE NW, NEW PHILADELPHIA, OH 44663-4143
(330) 343-2555
(330) 343-2348
Mailing address
541 WABASH AVE NW, NEW PHILADELPHIA, OH 44663-4143
(330) 343-2555
(330) 343-2348
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30015244
OH
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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