Organization · Type 2 NPI

Mangelsdorf Family Dentistry

Dental Clinic/Center · Kingman, AZ

NPI number 1174707772 Active

Practice location

2249 Hualapai Mountain Rd Ste A
Kingman, AZ 86401-8321

Fax (928) 718-2137

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X3751 (AZ)

Dental Clinic/Center: Definition to come...

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About NPI 1174707772

Mangelsdorf Family Dentistry's National Provider Identifier is 1174707772, issued on Dec 19, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Kingman, AZ. The record was last updated on Dec 19, 2007.