Marissa Pasion Mandap, DMD

NPI #1104018886 in Mesa, Arizona

Provider Information

NPI Number: 1104018886
Entity Type: Individual
Name: Marissa Pasion Mandap, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Aug 15, 2007
Last Updated: Aug 15, 2007

Practice Location

Address: 846 S STAPLEY DR
City: Mesa
State: Arizona
ZIP Code: 85204-4243
Phone: (480) 834-8405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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