Organization
THADDEUS J. MANDATO, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THADDEUS JUDE JOHN MANDATO D.D.S. (PRESIDENT)
(440) 331-0164
Entity
Organization
Contact information
Practice address
21245 LORAIN RD, SUITE 100, FAIRVIEW PARK, OH 44126-2146
(440) 331-0164
(440) 331-0165
Mailing address
21245 LORAIN RD, SUITE 100, FAIRVIEW PARK, OH 44126-2146
(440) 331-0164
(440) 331-0165
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/14/2006
Last updated
08/22/2020
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