Individual
JAMES MANCINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
600 CHESTNUT STREET EXT, BRADFORD, PA 16701-2292
(814) 368-3123
Mailing address
PO BOX 159, BRADFORD, PA 16701-0159
(814) 368-3123
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS025567L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011051320003
—
PA
Enumeration date
06/06/2006
Last updated
02/05/2010
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