Individual
LISA MARIE MANGIARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1507 S HIAWASSEE RD, SUITE 202, ORLANDO, FL 32835-5718
(407) 781-4185
(407) 781-4189
Mailing address
1507 S HIAWASSEE RD, SUITE 202, ORLANDO, FL 32835-5718
(407) 781-4185
(407) 781-4189
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN 17878
FL
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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