DR. Timothy William Mangelsdorf

NPI #1619924669 in Kingman, Arizona

Provider Information

NPI Number
1619924669
Entity Type
Individual
Name
DR. Timothy William Mangelsdorf
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - General Practice
Enumeration Date
May 27, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2249 E HUALAPAI MOUNTAIN RD
Address 2
SUITE A
State
Arizona
ZIP Code
86401-8323
Phone
(928) 718-2136

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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