Individual
SHEFALI MANGTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10 BROAD ST, BLOOMFIELD, NJ 07003-2524
(973) 744-7003
Mailing address
7 TERRAMAR LN, NASHUA, NH 03062-2294
(603) 809-7413
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI03008400
NJ
Other
Enumeration date
01/05/2024
Last updated
05/02/2024
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