Individual
DR. EDWARD BRYCE MANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
101 LECOM WAY, LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, DEFUNIAK SPRINGS, FL 32435
(850) 951-0200
Mailing address
101 LECOM WAY, LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, DEFUNIAK SPRINGS, FL 32435
(850) 951-0200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN13978
FL
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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