Individual
DR. KENNETH MANGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8025 RITCHIE HWY, SUITE 204, PASADENA, MD 21122-1031
(410) 766-3453
(410) 766-3454
Mailing address
8025 RITCHIE HWY, SUITE 204, PASADENA, MD 21122-1031
(410) 766-3453
(410) 766-3454
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
12584
MD
Other
Enumeration date
08/10/2005
Last updated
07/08/2007
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