DR. Jamie L. Mandigo, DDS

NPI #1730349432 in Delafield, Wisconsin

Provider Information

NPI Number: 1730349432
Entity Type: Individual
Name: DR. Jamie L. Mandigo, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 16, 2008
Last Updated: Feb 26, 2025

Practice Location

Address: 2574 SUN VALLEY DR
Address 2: STE 100
City: Delafield
State: Wisconsin
ZIP Code: 53018
Phone: (262) 337-9745

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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