Jamil Rigor Mangondato, DMD

NPI #1295939239 in Newark, California

Provider Information

NPI Number: 1295939239
Entity Type: Individual
Name: Jamil Rigor Mangondato, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 13, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 35201 NEWARK BLVD
Address 2: STE E
City: Newark
State: California
ZIP Code: 94560
Phone: (510) 792-6396

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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