Individual
DR. LUKE MICHAEL MANGELSDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2249 HUALAPAI MOUNTAIN RD STE 1, KINGMAN, AZ 86401-8321
(928) 718-2136
Mailing address
2249 HUALAPAI MOUNTAIN RD STE 1, KINGMAN, AZ 86401-8321
(928) 718-2136
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D010867
AZ
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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