Individual
DR. JAMES STEPHENS MANGUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
107 E. EIGHTH ST., MIO, MI 48647
(989) 826-6262
(989) 826-1405
Mailing address
PO BOX 160, MIO, MI 48647-0160
(989) 826-6262
(989) 826-1405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901015639
MI
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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