Individual
AARON MICHAEL MANNELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
390 STATE ROUTE 10, RANDOLPH, NJ 07869-2141
(973) 989-7970
(973) 442-1711
Mailing address
9 JODILEE LN, RANDOLPH, NJ 07869-3125
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DI01676000
NJ
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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