Individual
DR. ANDREW J MANTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
15009 89TH ST, HOWARD BEACH, NY 11414-1503
(718) 641-1333
(718) 641-9156
Mailing address
15009 89TH ST, HOWARD BEACH, NY 11414-1503
(718) 641-1333
(718) 641-9156
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
034441
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01612582
—
NY
Enumeration date
01/19/2007
Last updated
07/08/2007
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