Individual
DR. PATRICK CHRISTOPHER MANGANELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
126 COLLEGE AVE, GREENVILLE, PA 16125-2166
(724) 301-3162
Mailing address
126 COLLEGE AVE, GREENVILLE, PA 16125-2166
(724) 301-3162
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS038090
PA
Other
Enumeration date
04/09/2009
Last updated
07/07/2010
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