Mangayarkarasi Mathiyazhagan, DDS

NPI #1225384480 in Peoria, Illinois

Provider Information

NPI Number: 1225384480
Entity Type: Individual
Name: Mangayarkarasi Mathiyazhagan, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 25, 2012
Last Updated: Jul 25, 2012

Practice Location

Address: 1403 W GLEN AVE
City: Peoria
State: Illinois
ZIP Code: 61614-4705
Phone: (888) 988-4066

Specialties & Taxonomy Codes

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

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