Marco Antonio Mongalo, DDS

NPI #1942782594 in Lake Mary, Florida

Provider Information

NPI Number: 1942782594
Entity Type: Individual
Name: Marco Antonio Mongalo, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 30, 2018
Last Updated: Aug 30, 2018

Practice Location

Address: 2684 CAHILL WAY
City: Lake Mary
State: Florida
ZIP Code: 32746-2322
Phone: (407) 634-8544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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