Individual
DR. ERIK LEGRAND MANGELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-7339
(319) 353-6923
Mailing address
51300 POMERANTZ FAMILY PAVILION, IOWA CITY, IA 52242-1049
(193) 356-2205
(319) 335-8956
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
RES-30630
IA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
RES-30630
IA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RES-30630
IA
Other
Enumeration date
05/23/2022
Last updated
07/22/2022
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