Individual
DR. DAVID J MANEGOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30022514
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710333869
GROUP NPI
—
01
—
1730999194
GROUP NPI
—
Enumeration date
06/01/2007
Last updated
01/09/2025
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