Individual
DR. MATTHEW WILLIAM MANGINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8944 COLUMBIA RD, LOVELAND, OH 45140-1121
(513) 774-8800
(513) 774-5314
Mailing address
5154 VILLAGE SQUARE DR, PADUCAH, KY 42001-9060
(270) 444-6414
(270) 444-6488
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9115
KY
Other
Enumeration date
06/26/2009
Last updated
02/24/2016
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