Individual
MAMLE MANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5828 B MARKET STREET, 2ND FLOOR, PHILADELPHIA, PA 19139-3114
(215) 747-6901
(215) 747-6907
Mailing address
5828 B MARKET STREET, 2ND FLOOR, PHILADELPHIA, PA 19139-3114
(215) 747-6901
(215) 747-6907
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS028162L
PA
Other
Enumeration date
03/04/2008
Last updated
05/31/2012
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