Organization
DR. WESTON R MANGOLD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESTON R MANGOLD O.D. (OWNER)
(937) 399-8000
Entity
Organization
Contact information
Practice address
2051 N BECHTLE AVE, SPRINGFIELD, OH 45504-1583
(937) 399-8000
Mailing address
7152 QUARTERHORSE DR, SPRINGBORO, OH 45066-7784
(937) 321-1033
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4122
OH
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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