| Mark Mangels, DMD, LLC | |
|
1 Mid Rivers Mall Dr Suite 370 Saint Peters MO 63376-4320 | |
| (636) 970-0295 | |
| Not Available |
| Full Name | Mark Mangels, DMD, LLC |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1 Mid Rivers Mall Dr, Saint Peters, Missouri |
| Authorized Official Name and Position | Mark Alan Mangels (OWNER) |
| Authorized Official Contact | 6369700295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Mangels, DMD, LLC 1 Mid Rivers Mall Dr Suite 370 Saint Peters MO 63376-4320 Ph: (636) 970-0295 | Mark Mangels, DMD, LLC 1 Mid Rivers Mall Dr Suite 370 Saint Peters MO 63376-4320 Ph: (636) 970-0295 |
| NPI Number | 1497959894 |
|---|---|
| Provider Enumeration Date | 06/12/2007 |
| Last Update Date | 11/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497959894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 013969 (Missouri) | Primary |
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