Jamil Rigor Mangondato, DMD
Dentist in Newark, CA. Individual provider (NPI-1).
NPI number1295939239
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1295939239
- Entity type
- Individual (NPI-1)
- Name
- Jamil Rigor Mangondato
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 48148 | CA | Yes |
Practice location
35201 Newark BlvdSte E
Newark, CA 94560
Phone 510-792-6396 · Fax 510-792-4687
Mailing address
35201 Newark BlvdSte E
Newark, CA 94560
Phone 510-792-6396 · Fax 510-792-4687
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All 22 Dentist providers in Newark · All 897 providers in Newark
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