JOSEPH BRETT MANGUM

PRESCOTT, AZ
NPI1194897165
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AZ  D5563)
Enumeration Date2006-11-14
Last Update Date2007-07-08
Business Address
Dr. JOSEPH BRETT MANGUM DDS
1767 WILLOW CREEK RD
PRESCOTT, AZ 86301-1154
Phone number: 928-778-4110
Mailing Address
Dr. JOSEPH BRETT MANGUM DDS
1767 WILLOW CREEK RD
PRESCOTT, AZ 86301-1154
Phone number: 928-778-4110
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