Individual
DR. GUSTAVO N MONGELOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1800 K ST NW STE 1104, WASHINGTON, DC 20006-2235
(202) 362-1024
(202) 362-1045
Mailing address
4417 CHESTNUT LN, ROCKVILLE, MD 20853-1402
(301) 213-1024
(202) 362-1045
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5581
DC
Other
Enumeration date
09/20/2006
Last updated
04/12/2018
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