Organization
NORTHLAND DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW STEVEN MANCIN D.D.S., M.S. (DENTIST)
(816) 436-2760
Entity
Organization
Contact information
Practice address
7229 N OAK TRFY, GLADSTONE, MO 64118-1852
(816) 436-0354
(816) 468-7034
Mailing address
7229 N OAK TRFY, GLADSTONE, MO 64118-1852
(816) 436-0354
(816) 468-7034
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2014031160
MO
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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