Organization
DR WESTON R MANGOLD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESTON RAY MANGOLD O.D. (OPTOMETRIST)
(937) 321-1033
Entity
Organization
Contact information
Practice address
1274 E 2ND ST, FRANKLIN, OH 45005-1994
(937) 704-0809
Mailing address
7152 QUARTERHORSE DR, SPRINGBORO, OH 45066-7784
(937) 321-1033
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4122
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2841590
—
OH
Enumeration date
10/26/2009
Last updated
10/26/2009
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