Individual
DR. DAVID L MANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
30-022104
OH
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3347
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30-022104
LICENSE
OH
01
—
3347
DENTAL LICENSE
WV
Enumeration date
07/20/2006
Last updated
09/21/2021
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