Organization
KENNETH MANGANO, DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH MANGNANO DDS (PRESIDENT)
(410) 766-3453
Entity
Organization
Contact information
Practice address
8025 RITCHIE HWY, SUITE 204, PASADENA, MD 21122-1031
(410) 766-3453
(410) 766-3454
Mailing address
8025 RITCHIE HWY, SUITE 204, PASADENA, MD 21122-1031
(410) 766-3453
(410) 766-3454
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
12584
MD
Other
Enumeration date
02/17/2007
Last updated
08/22/2020
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