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Organization

RICHARD A MANDEL, DDS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD A MANDEL DDS (OWNER)
(714) 835-8873
Entity
Organization

Contact information

Practice address
801 N TUSTIN AVE SUITE 705, SANTA ANA, CA 92705
(714) 835-8873
(714) 835-0402
Mailing address
801 N TUSTIN AVE SUITE 705, SANTA ANA, CA 92705
(714) 835-8873
(714) 835-0402

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
21384
CA

Other

Enumeration date
08/14/2006
Last updated
12/11/2008
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