institution
Mangelsdorf Family Dentistry
Dental Clinic/Center in Kingman, Arizona
NPI 1174707772

Mangelsdorf Family Dentistry is a Dental Clinic/Center based in Kingman, AZ and is specialized in Dental. Mangelsdorf Family Dentistry practices in Kingman, AZ. The NPI Number for Mangelsdorf Family Dentistry is 1174707772 and holds a License No. 3751 (Arizona).

The current practice location address for Mangelsdorf Family Dentistry is 2249 Hualapai Mountain Rd Ste A, Kingman, AZ and can be reached out via phone at 928-718-2136 and via fax at 928-718-2137.

Location: 2249 Hualapai Mountain Rd Ste A, Kingman, AZ, 86401-8321
institution
Provider Profile Details
NPI Number
1174707772
Provider Name
Mangelsdorf Family Dentistry
Credential
Provider Entity Type
Organization
Address
2249 Hualapai Mountain Rd Ste A, Kingman, AZ, 86401-8321
Phone Number
928-718-2136
Fax Number
928-718-2137
Provider Enumeration Date
12/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1619924669 01 AZ NPI FOR INDIVIDUAL
institution
Provider Business Practice Location Address Details
Address
2249 Hualapai Mountain Rd Ste A
City
State
Zip
86401-8321
Phone Number
928-718-2136
Fax Number
928-718-2137
person
Provider Business Mailing Address Details
Address
2249 Hualapai Mountain Rd Ste A
City
State
Zip
86401-8321
Phone Number
928-718-2136
Fax Number
928-718-2137
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
3751 (Arizona)
Definition
Definition to come...
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