Provider Demographics
NPI:1407074875
Name:RINALDI, MANISHA R (DDS)
Entity Type:Individual
Prefix:DR
First Name:MANISHA
Middle Name:R
Last Name:RINALDI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:MONA/MANISHA
Other - Middle Name:
Other - Last Name:RINALDI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:6406 THORNBERRY CT
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-7846
Mailing Address - Country:US
Mailing Address - Phone:513-234-7890
Mailing Address - Fax:513-234-7891
Practice Address - Street 1:6406 THORNBERRY CT
Practice Address - Street 2:SUITE 210
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-7846
Practice Address - Country:US
Practice Address - Phone:513-234-7890
Practice Address - Fax:513-234-7891
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300213471223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics