Richard Mangum DDS PC

NPI #1700952587 in Prescott, Arizona

Provider Information

NPI Number
1700952587
Entity Type
Organization
Organization Name
Richard Mangum DDS PC
Primary Specialty
Dentist
Enumeration Date
Nov 25, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1767 WILLOW CREEK RD
State
Arizona
ZIP Code
86301-1154
Phone
(928) 778-4110

Authorized Official

Name
DR. RICHARD TURNER MANGUM, D.D.S.
Title
PRESIDENT
Phone
(928) 778-4110

Specialties & Taxonomy Codes

Specialty
Dentist

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