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Individual

ALAN M MANTELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1818 VERDUGO BLVD, SUITE 304, GLENDALE, CA 91208
(818) 790-3588
(818) 790-6518
Mailing address
1818 VERDUGO BLVD, SUITE 304, GLENDALE, CA 91208
(818) 790-3588
(818) 790-6518

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G18862
CA

Other

Enumeration date
10/25/2006
Last updated
07/08/2007
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