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Mr. Richard A Mandelaris, DMD
Pediatric Dentist in Davis, California
NPI 1265520670

Richard A Mandelaris is a Pediatric Dentist based in Davis, CA and is specialized in Pediatric Dentistry. Richard A Mandelaris practices in Davis, CA and has the professional credentials of DMD. The NPI Number for Richard A Mandelaris is 1265520670 and holds a License No. 21323 (California).

The current practice location address for Richard A Mandelaris is 1791 Oak Ave, Davis, CA and can be reached out via phone at 530-756-7516 and via fax at 530-756-0727.

Location: 1791 Oak Ave, Davis, CA, 95616
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265520670
Provider Name
Richard A Mandelaris
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1791 Oak Ave, Davis, CA, 95616
Phone Number
530-756-7516
Fax Number
530-756-0727
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1791 Oak Ave
City
Davis
State
California
Zip
95616
Phone Number
530-756-7516
Fax Number
530-756-0727
person
Provider Business Mailing Address Details
Address
1791 Oak Ave
City
Davis
State
California
Zip
95616
Phone Number
530-756-7516
Fax Number
530-756-0727
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
21323 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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