| Kenneth Mangano, Dds Pa | |
|
8025 Ritchie Hwy Suite 204 Pasadena MD 21122-1031 | |
| (410) 766-3453 | |
| (410) 766-3454 |
| Full Name | Kenneth Mangano, Dds Pa |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 8025 Ritchie Hwy, Pasadena, Maryland |
| Authorized Official Name and Position | Kenneth Mangnano (PRESIDENT) |
| Authorized Official Contact | 4107663453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Mangano, Dds Pa 8025 Ritchie Hwy Suite 204 Pasadena MD 21122-1031 Ph: (410) 766-3453 | Kenneth Mangano, Dds Pa 8025 Ritchie Hwy Suite 204 Pasadena MD 21122-1031 Ph: (410) 766-3453 |
| NPI Number | 1487798856 |
|---|---|
| Provider Enumeration Date | 02/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487798856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 12584 (Maryland) | Primary |
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