Jonathan Scott Mandras D.D.S.

NPI 1609042522 - Dentist - 1223G0001X

NPI Details
NPI 1609042522
Gender Male
Enumeration Date 04/30/2008
Last Updated 04/30/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
20 CROSSROADS DR
SUITE 110
OWINGS MILLS MD, 21117-5419, US
Phone (410) 363-2500
Fax (410) 363-0006
Business Location
20 CROSSROADS DR
SUITE 110
OWINGS MILLS MD, 21117-5419, US
Phone (410) 363-2500
Fax (410) 363-0006
Toxanomy
Taxonomy Code 1223G0001X
License State Maryland
License Number 14317
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According to our database, Dr. Jonathan Scott Mandras D.D.S. NPI is 1609042522, taxonomy code is 1223G0001X and license number is 14317, license state is located at Maryland. Jonathan Scott Mandras D.D.S. physically located at 20 Crossroads Dr, Owings Mills MD, 21117-5419. NPI Number Jonathan Scott Mandras D.D.S. has the Individual type.

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1609042522 NPI number is provided on an as is basis without warranty of any kind. 1609042522 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan Scott Mandras D.D.S. are for informational purposes only.