Individual
DIMPLEJIT SINGH MANGAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2280 W MASON ST, GREEN BAY, WI 54303-4707
(920) 321-3501
Mailing address
3489 SPYGLASS HILL DR, GREEN BAY, WI 54311-6116
(920) 288-7238
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002752-15
WI
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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