| NPI | 1689754574 |
|---|---|
| Other Name | DEBORAH MANGOT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 22dl01871000) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22dl01871002) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2010-04-14 |