Individual
DR. GABRIEL MANCUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
101 N FRONT ST, PHILIPSBURG, PA 16866-1603
(814) 342-1090
(814) 343-2597
Mailing address
101 N FRONT ST, PHILIPSBURG, PA 16866-1603
(814) 342-1090
(814) 343-2597
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS040423
PA
Other
Enumeration date
06/17/2015
Last updated
04/04/2022
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