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MR. DAVID M MENGEL C.P.D.

>> Denturist >> Dental Providers

Registrant NPI Number: 1659451771

Individual Registrant:
MR. DAVID M MENGEL C.P.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
11100 W MICHIGAN AVE  YOUNGTOWN, AZ 85363-1017 US
Tel: 623-974-5629  Fax: 623-974-1770

Contact information for business:
11100 W MICHIGAN AVE  YOUNGTOWN, AZ 85363-1017 US
Tel: 623-974-5629  Fax: 623-974-1770

Registration Information:
NPI: 1659451771
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122400000XDental Providers
Denturist
AZ015

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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