Individual
DR. JONATHAN MANGOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
61 CRESCENT AVE, WALDWICK, NJ 07463-1431
(210) 445-1441
(201) 445-1484
Mailing address
405 PINE LN, HAWORTH, NJ 07641-1308
(201) 385-2635
(201) 244-5381
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16135
NJ
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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