Jonathan Mangot DMD

NPI 1093871295 - Dentist - 1223G0001X

NPI Details
NPI 1093871295
Gender Male
Enumeration Date 12/29/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
61 CRESCENT AVE
WALDWICK NJ, 07463-1431, US
Phone (210) 445-1441
Fax (201) 445-1484
Business Location
405 PINE LN
HAWORTH NJ, 07641-1308, US
Phone (201) 385-2635
Fax (201) 244-5381
Toxanomy
Taxonomy Code 1223G0001X
License State New Jersey
License Number 16135
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According to our database, Dr. Jonathan Mangot DMD NPI is 1093871295, taxonomy code is 1223G0001X and license number is 16135, license state is located at New Jersey. Jonathan Mangot DMD physically located at 61 Crescent Ave, Waldwick NJ, 07463-1431. NPI Number Jonathan Mangot DMD has the Individual type.

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1093871295 NPI number is provided on an as is basis without warranty of any kind. 1093871295 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan Mangot DMD are for informational purposes only.