| NPI | 1922143262 |
|---|---|
| Former Legal Business Name | STEVE MANGAN, D.D.S., P.A. |
| Entity Type | Organization |
| Authorized Contact | CHARLES STEVEN MANGAN Dentist 501-666-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR AR2807) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |