Individual
DR. RAYMOND MANNIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
264 N MAIN ST STE 4, EAST LONGMEADOW, MA 01028-1815
(413) 525-0861
Mailing address
3 SUNRISE CIR, SOUTH HADLEY, MA 01075-1382
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D18081
MA
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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