Organization
MANKAD DENTAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY VANDNA M MANKAD (SECRETARY-MANAGER)
(215) 567-5949
Entity
Organization
Contact information
Practice address
1420 WALNUT STREET, SUITE #518, PHILADELPHIA, PA 19102-4004
(215) 567-5949
(215) 567-1517
Mailing address
1420 WALNUT STREET, SUITE #518, PHILADELPHIA, PA 19102-4004
(215) 567-5949
(215) 567-1517
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS019431L
PA
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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