| Mark S. Mandel, D.D.S., S.C. | |
|
5960 W Brown Deer Rd Milwaukee WI 53223-2310 | |
| (414) 355-3551 | |
| (414) 355-4554 |
| Full Name | Mark S. Mandel, D.D.S., S.C. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5960 W Brown Deer Rd, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Mark Steven Mandel (PRESIDENT) |
| Authorized Official Contact | 4143553551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark S. Mandel, D.D.S., S.C. 5960 W Brown Deer Rd Milwaukee WI 53223-2310 Ph: (414) 355-3551 | Mark S. Mandel, D.D.S., S.C. 5960 W Brown Deer Rd Milwaukee WI 53223-2310 Ph: (414) 355-3551 |
| NPI Number | 1902973019 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902973019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5000797 (Wisconsin) | Primary |
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