Organization
MICHAEL A MANDINO JR D.D.S DR LOUIS A JULIANO D.D.S. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A MANDINO JR. D.D.S (OWNER)
(203) 575-9798
Entity
Organization
Contact information
Practice address
276 HIGHLAND AVE, WATERBURY, CT 06708-3022
(203) 575-9798
(203) 575-1286
Mailing address
276 HIGHLAND AVE, WATERBURY, CT 06708-3022
(203) 575-9798
(203) 575-1286
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10118
CT
122300000X
Dentist
Primary
4393
CT
122300000X
Dentist
4750
CT
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
11/04/2010
Last updated
11/10/2014
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