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Individual

DR. BERNADETTE MENDOZA MABANGLO-SAMSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
11061 HULL STREET RD, MIDLOTHIAN, VA 23112-3255
(804) 745-0666
(804) 675-0938
Mailing address
11061 HULL STREET RD, MIDLOTHIAN, VA 23112-3255
(804) 745-0666
(804) 675-0938

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401413839
VA

Other

Enumeration date
01/18/2013
Last updated
01/18/2013
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