Mangoleaf Dental Pllc

NPI #1265198618 in Lantana, Texas

Provider Information

NPI Number: 1265198618
Entity Type: Organization
Organization Name: Mangoleaf Dental Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 10, 2021
Last Updated: Nov 10, 2021

Practice Location

Address: 3501 FM 407 E STE 200
City: Lantana
State: Texas
ZIP Code: 76226-9769
Phone: (940) 489-1660

Authorized Official

Name: JEREMY FREEMAN
Title: OFFICE MANAGER
Phone: (940) 228-2250

Specialties & Taxonomy Codes

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

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