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Organization

CHARLES S. MANDELL, D.D.S.,PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES SOLOMON MANDELL D.D.S. (OWNER/PRESIDENT)
(954) 966-0404
Entity
Organization

Contact information

Practice address
3220 STIRLING RD, SUITE 103, HOLLYWOOD, FL 33021-2041
(954) 966-0404
(954) 987-8378
Mailing address
3220 STIRLING RD, SUITE 103, HOLLYWOOD, FL 33021-2041
(954) 966-0404
(954) 987-8378

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN3803
FL

Other

Enumeration date
05/05/2008
Last updated
05/05/2008
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