Individual
DR. JONATHAN MANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1701 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009
(954) 779-3000
Mailing address
1701 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-4621
(954) 779-3000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1856556
MA
122300000X
Dentist
Primary
DN21469
FL
Other
Enumeration date
06/12/2014
Last updated
06/22/2018
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