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1700952587
RICHARD MANGUM DDS PC
PRESCOTT, AZ
NPI
1700952587
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Entity Type
Organization
Authorized Contact
RICHARD TURNER MANGUM
President
928-778-4110
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: AZ 1904)
Enumeration Date
2006-11-25
Last Update Date
2020-08-22
Business Address
RICHARD MANGUM DDS PC
1767 WILLOW CREEK RD
PRESCOTT, AZ 86301-1154
Phone number: 928-778-4110
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Mailing Address
RICHARD MANGUM DDS PC
1767 WILLOW CREEK RD
PRESCOTT, AZ 86301-1154
Phone number: 928-778-4110
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