Individual
MANALI TANNA MADHAVANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
241 KING ST STE 120, NORTHAMPTON, MA 01060-2341
(413) 584-2229
Mailing address
241 KING ST STE 120, NORTHAMPTON, MA 01060-2341
(413) 584-2229
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN10000534
MA
Other
Enumeration date
06/03/2021
Last updated
09/16/2025
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