Individual
DR. MARICRIS MANGASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
400 HUALANI ST, BLDG 9 STE 192, HILO, HI 96720-4378
(808) 935-6620
Mailing address
400 HUALANI ST, BLDG 9 SUITE 192, HILO, HI 96720-4378
(808) 935-6620
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT-2639
HI
Other
Enumeration date
01/28/2016
Last updated
12/19/2016
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