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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MANGRUM DENTAL CORPORATION

Active Organization

MANGRUM DENTAL CORPORATION is a General Dentistry organization located in PETALUMA, California. NPI 1275776684 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · PETALUMA, CA

Registration Details

NPI Number
1275776684
Provider Type
Organization
NPI Issued
Apr 15, 2009 (17.346245001744 yrs)
Last Updated
Apr 15, 2009
License
44612 (CA)

Practice Information

Address
1430 E WASHINGTON ST
PETALUMA, CA, 949543631
Browse CA providers · Browse ZIP 94954
Phone
7077620067
Fax
7077624782
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.