Individual
JASKIRAT MANGAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 SOUTH TULPEHOCKEN STREET, PINE GROVE, PA 17963-8935
(570) 345-8007
Mailing address
210 S TULPEHOCKEN ST, PINE GROVE, PA 17963-1014
(570) 345-8007
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS040883
PA
Other
Enumeration date
07/26/2016
Last updated
10/27/2016
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