Individual
MICHAEL ANTHONY MANDINO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
276 HIGHLAND AVE, WATERBURY, CT 06708
(203) 575-9798
(203) 575-1286
Mailing address
276 HIGHLAND AVE, WATERBURY, CT 06708
(203) 575-9798
(203) 575-1286
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4393
CT
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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