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Individual

DR. DONALD MANGUAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD,MSD

Contact information

Practice address
400 AVE FD ROOSEVELT, OFF. 512, SAN JUAN, PR 00918-2103
(787) 756-6380
(787) 756-6381
Mailing address
400 AVE FD ROOSEVELT STE 407, SAN JUAN, PR 00918-2163
(787) 946-5556

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
801
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
039086300
PR
Enumeration date
08/07/2007
Last updated
10/26/2022
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