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1093871295
JONATHAN MANGOT
WALDWICK, NJ
NPI
1093871295
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NJ 16135)
Enumeration Date
2006-12-29
Last Update Date
2007-07-08
Business Address
Dr. JONATHAN MANGOT DMD
61 CRESCENT AVE
WALDWICK, NJ 07463-1431
Phone number: 210-445-1441
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Mailing Address
Dr. JONATHAN MANGOT DMD
405 PINE LN
HAWORTH, NJ 07641-1308
Phone number: 201-385-2635
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