Organization
STEVE MANGAN DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE MANGAN DDS (DENTIST)
(501) 666-2801
Entity
Organization
Contact information
Practice address
5307 KAVANAUGH BLVD, LITTLE ROCK, AR 72207-4610
(501) 666-2801
(501) 666-4863
Mailing address
5307 KAVANAUGH BLVD, LITTLE ROCK, AR 72207-4610
(501) 666-2801
(501) 666-4863
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3927
AR
122300000X
Dentist
3929
AR
1223D0001X
Public Health Dentistry
Primary
2807
AR
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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