Individual
MR. RICHARD A MANDELARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1791 OAK AVE, #C, DAVIS, CA 95616
(530) 756-7516
(530) 756-0727
Mailing address
1791 OAK AVE, #C, DAVIS, CA 95616
(530) 756-7516
(530) 756-0727
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
21323
CA
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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