Individual
DR. TIMOTHY WILLIAM MANGELSDORF
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
2249 E HUALAPAI MOUNTAIN RD, SUITE A, KINGMAN, AZ 86401-8323
(928) 718-2136
(928) 718-2137
Mailing address
2249 E HUALAPAI MOUNTAIN RD, SUITE A, KINGMAN, AZ 86401-8323
(928) 718-2136
(928) 718-2137
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3751
AZ
Other
Enumeration date
05/27/2006
Last updated
07/08/2007
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