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Individual

DR. DAVID L MANDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
200 WASHINGTON AVE, WHEELING, WV 26003-6231
(304) 281-9821
Mailing address
200 WASHINGTON AVE, WHEELING, WV 26003-6231
(304) 281-9821

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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