Individual
MARIA MANGINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1426 21ST ST NW FL 2, WASHINGTON, DC 20036-5947
(202) 331-3476
Mailing address
1804 BAY ST SE, WASHINGTON, DC 20003-2509
(315) 558-2828
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401416431
VA
1223G0001X
General Practice Dentistry
16803
MD
1223G0001X
General Practice Dentistry
Primary
DEN1001978
DC
Other
Enumeration date
07/01/2019
Last updated
09/29/2023
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