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1215945415
MARK ALAN MANGELS
SAINT PETERS, MO
NPI
1215945415
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: MO 2005013969)
Enumeration Date
2006-08-03
Last Update Date
2017-01-04
Business Address
Dr. MARK ALAN MANGELS DMD
1 MID RIVERS MALL DR SUITE 370
SAINT PETERS, MO 63376-4320
Phone number: 636-970-0295
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Mailing Address
Dr. MARK ALAN MANGELS DMD
521 N CENTRAL AVE
SAINT LOUIS, MO 63130-3907
Phone number: 618-593-1438
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