Individual
DR. PARTH MANGROLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3320 RUTGER ST, SAINT LOUIS, MO 63104-1122
(314) 977-8381
Mailing address
9727 KEELER AVE, SKOKIE, IL 60076-1129
(847) 373-2744
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
019.031236
IL
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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