DR. Thaddeus Jude John Mandato, D.D.S.
NPI #1508961533 in Fairview Park, Ohio
Provider Information
- NPI Number
- 1508961533
- Entity Type
- Individual
- Name
- DR. Thaddeus Jude John Mandato, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Sep 14, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 21245 LORAIN RD
- Address 2
- SUITE 100
- City
- Fairview Park
- State
- Ohio
- ZIP Code
- 44126-2146
- Phone
- (440) 331-0164
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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