Individual
DR. JAMES JAY MANGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1033 ROBERTSON ST, FORT COLLINS, CO 80524-3926
(970) 482-4242
(970) 482-0610
Mailing address
1033 ROBERTSON ST, FORT COLLINS, CO 80524-3926
(970) 482-4242
(970) 482-0610
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
84
CO
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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