| Mangelsdorf Family Dentistry | |
|
2249 Hualapai Mountain Rd Ste A Kingman AZ 86401-8321 | |
| (928) 718-2136 | |
| (928) 718-2137 |
| Full Name | Mangelsdorf Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2249 Hualapai Mountain Rd Ste A, Kingman, Arizona |
| Authorized Official Name and Position | Timothy William Mangelsdorf (DENTIST) |
| Authorized Official Contact | 9287182136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mangelsdorf Family Dentistry 2249 Hualapai Mountain Rd Ste A Kingman AZ 86401-8321 Ph: (928) 718-2136 | Mangelsdorf Family Dentistry 2249 Hualapai Mountain Rd Ste A Kingman AZ 86401-8321 Ph: (928) 718-2136 |
| NPI Number | 1174707772 |
|---|---|
| Provider Enumeration Date | 12/19/2007 |
| Last Update Date | 12/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174707772 | NPI | - | NPPES |
| 1619924669 | Other | AZ | NPI FOR INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3751 (Arizona) | Primary |
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