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DR. LOUIS ALLAN MANDINO DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1831194067

Individual Registrant:
DR. LOUIS ALLAN MANDINO DDS
Gender: M

Location and contact information for practice:
51 GILLOTTI RD  NEW FAIRFIELD, CT 06812-2514 US
Tel: 203-746-2416  Fax: 203-746-1551

Contact information for business:
51 GILLOTTI RD  NEW FAIRFIELD, CT 06812-2514 US
Tel: 203-746-2416  Fax: 203-746-1551

Registration Information:
NPI: 1831194067
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
CT4106

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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