Individual
MR. RICHARD MANDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
801 N TUSTIN AVE, SUITE 705, SANTA ANA, CA 92705-3611
(714) 835-8873
(714) 835-0402
Mailing address
801 N TUSTIN AVE, SUITE 705, SANTA ANA, CA 92705-3611
(714) 835-8873
(714) 835-0402
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DK21384
CA
Other
Enumeration date
03/28/2013
Last updated
03/28/2013
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